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Fig. 7 | Insights into Imaging

Fig. 7

From: A radiologic review of hoarse voice from anatomic and neurologic perspectives

Fig. 7

Oropharyngeal squamous cell carcinoma. A 40-year-old man presenting with tender neck mass, dysphagia to solid food, odynophagia, and voice changes. Axial (a) and sagittal (b) contrast-enhanced CT images reveal an enhancing mass at the left oropharynx (arrows) and extensive left-sided lymphadenopathy, including a large level II nodal conglomerate with central areas of necrosis (arrowheads). Biopsy revealed this to be human papilloma virus (HPV)-mediated squamous cell carcinoma. Voice change was attributed to encroachment upon the carotid space resulting in vagal nerve irritation.

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