PMID: 28503275May 16, 2017Paper

An elderly man with an air-fluid level in the middle ear

Malaysian Family Physician : the Official Journal of the Academy of Family Physicians of Malaysia
S Mohamad, I Mohamad

Abstract

A 68-year-old Malay man who is a rubber tapper, presented with a large painful right-sided neck swelling for 6 months, which was gradually increasing in size and associated with odynophagia, dysphagia, hoarseness and significant weight loss. He did not complain of any ear symptoms, but on further questioning, he admitted having a 3-week history of occasional tinnitus and reduced hearing on the right ear. Other ear symptoms were negative.

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