A 58-year-old man presented to the ED with the chief complaints of a sore throat from one-month which did not resolve by medications. He experienced increasing dysphagia and vomiting. He had no fever and had no subjective weight loss. His appetite was fair. Past medical history: Hernia operation 2 years before. There was no history of ingestion of foreign body, nor any intraoral or extraoral trauma.

Physical examination GC: Moderate P: 149/80 mm Hg Pulse: 106 beats per minute. NO drooling saliva, no stridor RS: Clear, throat was mildly congested over the posterior pharyngeal wall without obvious swelling. Image of lateral X-ray neck is provided. What will be the most likely diagnosis? *This case is from Docplexus editorial team for educative purpose only Source: Clinical cases in ENT The answer is posted in the comments section. Click here.