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



FINDING:
The T2-weighted image (upper left image) demonstrates a well circumscribed inhomogeneous hyperdense mass measuring 2 cm (pepper-salt pattern). No clear distinction from the parotid gland is seen. The T1-weighted image with neither fat suppression nor contrast administration (lower left picture) demonstrates a hypodense, somewhat inhomogeneous mass. After contrast administration this mass enhances very intensely (right picture) and is generally seen to be well circunscribed.


DIAGNOSIS:
Glomus vagale


DIFFERENTIAL DIAGNOSIS:
Other glomus tumor




Web resources:

1) Amersham Health
2) Chorus
3) University Rochester
4) Radiosurgery
5) Emedicine
6) Theotologygroup
7) Urad.com
8) Dizzines-and-balance.com