Presentation
Difficulty in swallowing; Gradually progressive.
Patient Data
Age: 50-60 years
Gender: Male
From the case:
Left piriform fossa mass
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Frontal

Barium swallow demonstrates a rounded filling defect in the left piriform fossa.
From the case:
Left piriform fossa mass
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Axial C+ portal venous phase

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.