74-year-old female
A 74-year-old female with no significant medical history was referred for routine airway evaluation prior to fabrication of a mandibular advancement device. Upon review, the radiologist identified severe soft tissue asymmetry in the area of the left palatine tonsils and left base of tongue. The lesion was causing asymmetrical airway narrowing, and although CBCT has insufficient soft tissue contrast for definitive characterization, the appearance was suspicious for squamous cell carcinoma of the left palatine tonsil. The patient, who had been unaware of the lesion, was referred to ENT for further diagnosis and management.
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