CASE HISTORY / CLINIC:
Patient with recurring middle ear effusions and hampered nasal breathing, occuring intermittently for 1 year now. No B symptoms.


FINDINGS:
The post contrast T1-weighted sagittal image demonstrates a hyperintense, a bit inhomogeneous mass in the nasopharynx (above). In the T2-weighted axial images the nasopharynx appears almost completely radiopaque due to a hyperdense tissue (below).


DIAGNOSIS:
Hyperplastic lymphatic tissue


DIFFERENTIAL DIAGNOSIS:
Nasopharyngeal lymphoma or carcinoma.