PMC4430121_01
Endoscopic evaluation revealed a dark melanotic lesion located in the right nasopharynx (bottom left).
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She subsequently returned to her original otolaryngology clinic and a more complete nasopharyngoscopy was performed, revealing a dark-nodular pigmented lesion in the right posterior nasopharynx with no evidence of satellite melanosis (Fig. 1).
Computed-tomography demonstrating a 1.3 x 1 cm lesion in the right fossa of Rosenmuller involving the eustachian orifice and tympanomastoid effusion.
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Imaging showed a 1.3 x 1 cm lesion in the right fossa of Rosenmuller obstructing the eustachian orifice and a right tympanomastoid effusion (Fig. 2).