case_images: PMC9577071_01
case_images: Nasopharyngeal mass seen on nasal endoscopy.
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case_images: PMC9577071_01_10.1177_2050313X221131389-fig1.jpg
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case_images: We performed nasal endoscopy, which showed a nasopharyngeal mass almost obliterating the fossa of Rosenmuller on both sides (Figure 1).
case_images: Computed tomography scan showing nasopharyngeal mass (arrow).
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case_images: fig2-2050313X221131389
case_images: The CT scan showed a heterogeneously enhancing soft tissue mass measuring 2 x 1.4 x 3.9 cm in the nasopharynx, obliterating the bilateral fossa of Rosenmuller and extending inferiorly to the upper part of the oropharynx (Figure 2).
case_images: Epithelioid granuloma with Langhans giant cells. (a) Hematoxylin & eosin
  stain x100. (b) Hematoxylin & eosin stain x400. (c) Ziehl-Neelsen stain:
  x1000. Acid Fast Bacilli (arrow).
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case_images: fig3-2050313X221131389
case_images: The repeat biopsy showed caseating granuloma with dense chronic inflammatory cells forming lymphoid follicles and the ZN stain demonstrated a few AFB (Figure 3(a)-(c)).