Left vocal cord palsy - paraoesophageal abscess

Case contributed by Praveen Jha
Diagnosis certain

Presentation

Hoarse voice, swallowing difficulty and dyspnoea

Patient Data

Age: 45 years
Gender: Male

Scan was taken down to the arch of aorta to assess the course of left recurrent laryngeal nerve. A paraoesophageal abscess is seen on left side, likely to involve left recurrent laryngeal nerve in tracheo-oesophageal groove. Paramedian deviation of left vocal cord seen.

Annotated image

Annotated images. 

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Case Discussion

This case shows the importance of imaging in cases of left vocal cord palsy, where it is important to image down to the arch of aorta, the point where the recurrent laryngeal nerve turns on the left side.

Patient was operated on and paraoesophageal abscess drained successfully.

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