Issue: 2019 > July > photo quiz

Undefined mass in head-neck region on iodine-123 scan

R.M. Nieuwenhuize, F.S. van Geest, E.T. te Beek, N.A.J. van der Linde
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A 30-year-old Caucasian woman was referred to the ear-nose-throat outpatient clinic complaining of dysphagia, otalgia and fever for four days. She did not have any relevant medical history. Under the suspicion of a pharyngeal abscess, a computed tomography (CT) scan was made, confirming the diagnosis; however, a contrastenhancing mass at the base of the tongue was also visible (figure 1). An iodine-123 single photo emission tomography (SPECT)/CT scan was made, showing high iodine uptake in the lesion at the base of the tongue (figure 2).

What is your diagnosis?
See page 232 for the answer to this photo quiz