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Toshiro Yahara, MD;
Junji Machi, MD, PhD
From the Department of Surgery, University of Hawaii at Manoa and Kuakini Medical Center, Honolulu.
Arch Surg. 2002;137:619-620.
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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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INTRODUCTION
A 72-YEAR-OLD WOMAN complained of a recent soft mass on the left side of her neck. She described a 2-cm mass just medial to the lower portion of the left sternocleidomastoid muscle, but the results of the physical examination were unremarkable. With a 7- to 8-mHz curvilinear array transducer, an ultrasound examination was performed in the office setting that showed a 1.5-cm hypoechoic lesion, posterior to the left lobe of the thyroid gland and anterolateral to the esophagus. The ultrasound showed a lesion containing a central hyperechoic area associated with a comet-tail artifact (Figure 1).
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Figure 1.
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What Is the Diagnosis?
A. Abscess of the thyroid gland
B. Infected branchial cyst
C. Zenker diverticulum
D. Lymphadenitis
Answer: Zenker Diverticulum
Figure 1. Transverse view of cervical ultrasound showing a comet-tail artifact. T indicates thyroid gland; CA, carotid artery.
Figure 2. Lateral view of barium swallow showing the . . . [Full Text of this Article]
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