ABSTRACT
A 67-year-old female presented to our institution with a progressive history of hoarseness for the past six months. The patient also referred shoulder weakness and cough during the same period of time. She denied weight loss and tobacco use. Past medical history was negative for squamous cell carcinoma of the head and neck region. Physical examination demonstrated asymmetry of the sternocleidomastoid and trapezius muscles. Flexible laryngoscopy was performed and revealed complete unilateral vocal cord paralysis on the right. Magnetic Resonance (MR) of the brain with intravenous contrast (Figure 1) and computer tomography (CT) of soft tissue of the neck with contrast (Figure 2) were performed for further evaluation.
Subject(s)
Cranial Nerve Diseases , Tomography, X-Ray Computed , Vocal Cord Dysfunction , Aged , Cranial Nerve Diseases/complications , Cranial Nerve Diseases/diagnostic imaging , Cranial Nerve Diseases/physiopathology , Female , Humans , Vocal Cord Dysfunction/diagnostic imaging , Vocal Cord Dysfunction/etiology , Vocal Cord Dysfunction/physiopathologyABSTRACT
To assess an elevated creatinine, a 67-year old woman underwent renal ultrasound which incidentally revealed an abdominal aortic aneurysm (AAA).