CASE HISTORY / CLINIC:
32-year-old patient with hoarseness and dysphagia.


FINDINGS:
The T2-weighted fat suppression image (above) depicts a mass of high signal intensity around the larynx and a mass of lesser signal intensity on the right side of the larynx. Compression of the larynx lumen from the left and slight displacement of the larynx to the right. The mass is relatively well circumscribed and doesn't extend to the sheath of vessels and nerves. The post-contrast T1-weighted fat suppression image (below) demonstrates an intensely enhancing, well circumscribed mass encircling the larynx and growing mainly on the left side. Visualization of some central reduction of signal intentensity.

DIAGNOSIS:
Larynx hemangioma


DIFFERENTIAL DIAGNOSIS:
Hemangiosarcoma


Web resources:

1) Amersham Health
2) Medecoinfo