Case 74

Medical history

A 44-year-old female patient attended a medical appointment due to a lump she had recently noticed in the upper third of her neck, on the right. At clinical examination, a firm, painless and pulsatile mass was felt in this area. It could be moved more easily side-to-side than up and down. Besides, it was observed a bulge in the right lateral wall of her oropharynx extending to the midline.

Based on the clinical data and imaging studies, which is the most likely diagnosis?

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