Cervical limbus vertebra presenting as a hypopharyngeal mass

Abstract

A 59-year-old female patient was referred to our radiology department with the complaints of cervical bolus sensation and dysphagia for 10 years. She had no history of significant medical problems. Endoscopic examination revealed a protrusion located through the posterior wall of the hypopharynx (Fig. 1). The initial diagnosis was a hypopharyngeal neoplasm, and magnetic resonance imaging and plain radiography were performed. Magnetic resonance imaging of neck showed a triangular smooth bone fragment at the superior end plate of C4 vertebrae and bulging of the posterior hypopharyngeal wall (Fig. 2).