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A 51-year-old man with stage IV non–small-cell lung cancer, who was receiving chemotherapy, had hoarseness and weak vocal intensity, which developed over a period of 3 days, progressing to near-complete aphonia. Computed tomography of the chest showed an enlarged left paratracheal lymph node (Panel A, arrow), and videostroboscopy (Panel B, vocal cords open; Panel C, vocal cords closed; Video 1 [arrows in Panels B, C, E, and F indicate posterior direction, arrowheads left cord]) showed severe left vocal cord paresis, with early atrophy and bowing. A granulomatous lesion on the posterior cord (Panel B, short arrow) was consistent with the . . . [Full Text of this Article] |