Left piriform fossa mass

Case contributed by Assoc Prof Frank Gaillard


Difficulty in swallowing; Gradually progressive.

Patient Data

Age: 50-60 years
Gender: Male

Barium swallow demonstrates a rounded filling defect in the left piriform fossa.


CT of the neck confirms the presence of a nodular mass in left pyriform sinus with heterogeneous enhancement.

Case Discussion

The differential is of a mass in the piriform sinus is primarily that of a squamous cell carcinoma (SCC) (most likely) or less likely a minor salivary gland tumor.

Unfortunately no followup is available for this case. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.