We present a case of FB ingestion that mimicked a neoplasm whereby a 58-year-old gentleman with a history of near fatal accident 14 years ago, complains of foreign body sensation in the throat for 4 months. Flexible laryngoscopy revealed a smooth surfaced bulge at the right lateral pharyngeal wall, pushing the right aryepiglottic fold and arytenoid medially obscuring the right vocal fold. Biopsy twice via direct laryngoscopy reported as no evidence of malignancy. Imaging findings revealed a heterogenous enhancing mass of the lower oropharynx and hypopharynx extending from C2-C7 levels. Within the center of this mass, lay a slightly curvilinear structure returning hypointense signal at both T1- and T2-weighted sequences, highly suggestive of a FB. On third laryngoscopy, a broken denture was found hidden inferior to the mass, partly embedded at the posterior pharyngeal wall.
Key words: Foreign body, granuloma, denture, pharynx, aspiration
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