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The patient is a 30-year-old male who presents with 2 days of difficulty swallowing and what he calls a painful “bump” on the right side of his neck.              

View the images taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

02.22 JUCM X-Ray Clinical Challenges Figures 1 & 2
A 30-Year-Old with a Painful Neck ‘Bump’ and Difficulty Swallowing