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Vocal fold paralysis on positron emission tomography-CT
  1. Chelsea Ma1,
  2. Zachary AK Frosch2,
  3. Beth Overmoyer3,
  4. Avraham Z Cooper4
  1. 1Department of Internal Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
  2. 2Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA
  3. 3Susan F Smith Center for Women’s Cancer, Dana Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA
  4. 4Department of Pulmonary and Critical Care Medicine, The Ohio State University, Columbus, Ohio, USA
  1. Correspondence to Dr Chelsea Ma, Department of Internal Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA 02215, USA; chcma{at}ucdavis.edu

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Case

A 58-year-old woman with a 40 pack-year smoking history presented with several weeks of shortness of breath, chest pain radiating to the back and a hoarse voice. Initial chest X-ray showed a new left upper lobe mass concerning for malignancy. She then underwent positron emission tomography(PET)-CT, which revealed a fluorodeoxyglucose (FDG)-avid left hilar lung mass, (figure 1, red arrow) and left supraclavicular and mediastinal lymphadenopathy (figure 1, orange and green arrows). The PET-CT also showed asymmetric FDG uptake of the vocal folds at the level of the thyroid cartilage …

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