Epiglottic cyst

Case contributed by Derek Smith
Diagnosis almost certain

Presentation

Cystic mass in the airway identified at the time of intubation for unrelated elective surgery.

Patient Data

Age: 60 years
Gender: Male
ct

Cystic structure maximally measuring 25 mm in the left vallecular-epiglottic fold. This appears to arise from the epiglottis (best seen on sagittal). Homogeneous, low attenuation center with faint peripheral wall. No associated infective features. No nodal abnormality. The remainder of the aerodigestive tract is normal, with no other neck mass. Small hypodense part calcified thyroid nodules.

Case Discussion

Typical appearance of a benign epiglottic/laryngeal cyst. These are typically incidental findings, as here with an asymptomatic patient. Conservative management or resection can be considered.

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