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Radiological Case of the Month
Nighat F. Mehdi, MD;
Miles Weinberger, MD;
Mutasim N. Abu-Hasan, MD
From the Pediatric Allergy and Pulmonary Division, University of Iowa
College of Medicine, Iowa City.
Arch Pediatr Adolesc Med. 2002;156:81-82.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 20-MONTH-OLD infant had a 4-week history of bilaterally bulging neck
masses that were apparent while crying. The masses were initially noted after
an upper respiratory infection, and they became progressively more prominent.
The infant had several episodes of difficulty swallowing, mild hoarseness,
and occasional perioral cyanosis during a 5-day hospitalization to evaluate
the neck masses. The infant's medical history was notable for respiratory
syncytial virus bronchiolitis at age 6 months and several episodes of otitis
media. There was no history of trauma or surgery.
Physical examination showed a playful child in no respiratory distress
but with prominent bulging of the supraclavicular fossae bilaterally (Figure 1) on crying. The swelling disappeared
when the infant was consoled (Figure 2),
and the remainder of the physical examination was normal.
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Figure 1.
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Figure 2.
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A flexible fiberoptic bronchoscopy . . . [Full Text of this Article]
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