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[Clinical Picture] Large epiglottic cyst detected on videofluoroscopic swallowing study

A 49-year-old man with Wernicke’s encephalopathy visited our hospital because of generalised weakness. He had lost more than 10 kg in weight in recent months and he reported dysphagia with a feeling of something being stuck in his throat. He also had symptoms caused by aspiration. He was referred to our dysphagia clinic for a videofluoroscopic swallowing study (VFSS). An initial visual inspection of the mouth showed a large cystic mass behind the tongue (figure). The lesion was also seen in the vallecula on a lateral fluoroscopic view (figure).

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