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. Figure 1: Neck ultrasonography – focus on the carotid spaceFigure 2: Neck ultrasonography – focus on the carotid spaceFigure 3: Computed tomography of the neck - after injecting contrastFigure 4: Computed tomography of the neck - three-dimensional reconstruction Question:Based on the clinical data and imaging studies, which is the most likely diagnosis? Neck schwannoma (neurinoma) Parotid pleomorphic adenoma Internal carotid artery aneurysm Carotid body paraganglioma Time is Up! Time's up