A 46-year-old, otherwise healthy woman presented to the Emergency Department with a 3 days history of sore throat, difficulty in swallowing and restricted neck movements. No other significant medical history.
- Vitals are normal and stable.
- Patient not on any respiratory distress.
- Oral cavity – Normal
- Oropharynx – Hyperemic
- Neck – tender and movements were restricted.
- Rest of the physical examination was unremarkable.
- Flexible nasopharyngoscopy – A swelling in the nasopharynx extending towards the oropharynx.
- White blood cell count was normal.
- C-reactive protein was 39.
- A contrast-enhanced computed tomography (CECT) scan and a magnetic resonance imaging (MRI) were performed (see above image).
- What is your provisional diagnosis?