PMC9872259_01
Centrally located mass predominantly at the left posterior nasopharyngeal wall with an irregular surface
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F1
Nasoendoscopy examination revealed a centrally located mass predominantly at the left posterior nasopharyngeal wall with an irregular surface but an otherwise normal fossa of Rosenmuller (FOR) and Eustachian tube (Figure 1). 
Fairly well-defined minimally enhancing hypodense lesion at the left posterior nasopharyngeal wall, measuring 8.2mm x 6.2mm, without any extension towards bilateral FOR
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F2
Therefore, a contrasted enhanced computed tomography (CECT) scan was done and revealed a well-defined enhancing hypodense lesion, predominantly at the left posterior nasopharyngeal wall, measuring 8.2mm x 6.2mm, without any extension towards bilateral FOR (Figure 2a, 2b). 
Sagittal view of CECT showed minimally enhancing lesion over the nasopharyngeal wall with irregular mucosa appearance
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F3
Histopathological examination (HPE) revealed epithelioid cell granulomas with central areas of necrosis surrounded by epithelioid cells mixed with lymphoplasmacytic cell infiltrates and occasional Langhans type multinucleated giant cells (Figure 3). 