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(A) CT scan in sagittal view of the neck with mass in the nasopharynx extending into the oropharynx and paravertebral soft tissues. (B) CT scan in transverse view of the neck: Many bilateral prominent enhancing cervical and superior mediastinal lymph nodes.
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Many bilateral prominent enhancing cervical and superior mediastinal lymph nodes were also seen (Fig. 1A and B).
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Oral cavity after incision and drainage with biopsy.
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No dental etiology was associated with the mass (Fig. 2).
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(A) Nasopharyngeal mucosa showing foci of severe acute inflammation in the subjacent soft tissue and minor salivary glands (H&E, x25) and (B) Nasopharyngeal mucosa showing severe acute inflammation with focal necrosis in the subjacent soft tissue (H&E, x40).
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The overlying epithelium showed mild dysplasia (Fig. 3A and B).
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(A) CT scan in sagittal view of the neck after incision and drainage. (B) CT scan in transverse view of the neck after incision and drainage. (C) CT scan in transverse view of the chest. Lesion appreciated left lobe.
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A CT scan of the neck on the 16th day of hospitalization showed a clear nasopharynx without any evidence of a mass (Fig. 4A and B). However, incidentally a lesion was found in the lung fields (Fig. 4C).
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