Large Polypoidal Lesion with Severe Airway Obstruction on Soft Palate Evaluation

A 60-year-old male with a visible mass behind the soft palate was referred for evaluation of the soft tissue lesion. Upon scan review, the radiologist identified a large polypoidal lesion in the nasal cavity, nasopharynx, and oropharynx that was causing severe airway obstruction. The lesion was considerably larger than what the referring clinician could appreciate clinically. The differential included benign aggressive lesions such as inverted papilloma or a malignancy including squamous cell carcinoma. ENT referral was provided for further treatment.