RT Journal A1 Brown JE, Blumin JH T1 PAthology quiz case 2 JF Archives of Otolaryngology–Head & Neck Surgery JO Archives of Otolaryngology–Head & Neck Surgery YR 2012 FD June 1 VO 138 IS 6 SP 605 OP 605 DO 10.1001/archoto.2012.504a UL http://dx.doi.org/10.1001/archoto.2012.504a AB A 49-year-old man with a 60 pack-year smoking history presented with a 1-month history of progressively worsening pain in the posterior aspect of the right side of his neck. He denied recent neck trauma, fevers, chills, weight loss, dyspnea, chest pain, dysphagia, odynophagia, and otalgia and had no history of head and neck surgery or radiation therapy. His medical history was remarkable for approximately 6 months of intermittent coughing of blood-tinged sputum. He reported no recent travel. He considered himself otherwise healthy and had not seen a primary care provider in more than 25 years.