Today’s case is a 7-year-old female spayed Boxer with nasal congestion and difficulty breathing. Post your interpretations and your next imaging modality of choice.
THORAX: A single lateral projection of the neck was obtained. There are two rounded soft tissue opacities present within the nasopharynx which appear attached to the dorsal nasopharyngeal wall. There is extension of the hyoid apparatus and abnormal air distention of the caudal nasopharynx. There is mild gasseous distention of the cervical esophagus. Within the thorax, the cardiopulmonary structures appear within normal limits.
RADIOGRAPHIC IMPRESSIONS Soft tissue masses within the nasopharynx.
- granuloma / foreign material
CT and rhinoscopy are recommended if indicated. Unremarkable thorax without evidence of metastatic disease.
- 2 caudal nasopharyngeal masses were seen on CT
- The masses were identified and biopsied on rhinoscopy
- Marked lymphocytic, plasmacytic, and histiocytic pharyngitis with intralesional foreign body