case_images: PMC9872259_01
case_images: Centrally located mass predominantly at the left posterior nasopharyngeal wall with an irregular surface
case_images: ijo-35-61-g001.jpg
case_images: PMC9872259_01_ijo-35-61-g001.jpg
case_images: F1
case_images: Nasoendoscopy examination revealed a centrally located mass predominantly at the left posterior nasopharyngeal wall with an irregular surface but an otherwise normal fossa of Rosenmuller (FOR) and Eustachian tube (Figure 1). 
case_images: Fairly well-defined minimally enhancing hypodense lesion at the left posterior nasopharyngeal wall, measuring 8.2mm x 6.2mm, without any extension towards bilateral FOR
case_images: ijo-35-61-g002.jpg
case_images: PMC9872259_01_ijo-35-61-g002.jpg
case_images: F2
case_images: Therefore, a contrasted enhanced computed tomography (CECT) scan was done and revealed a well-defined enhancing hypodense lesion, predominantly at the left posterior nasopharyngeal wall, measuring 8.2mm x 6.2mm, without any extension towards bilateral FOR (Figure 2a, 2b). 
case_images: Sagittal view of CECT showed minimally enhancing lesion over the nasopharyngeal wall with irregular mucosa appearance
case_images: ijo-35-61-g003.jpg
case_images: PMC9872259_01_ijo-35-61-g003.jpg
case_images: F3
case_images: Histopathological examination (HPE) revealed epithelioid cell granulomas with central areas of necrosis surrounded by epithelioid cells mixed with lymphoplasmacytic cell infiltrates and occasional Langhans type multinucleated giant cells (Figure 3). 