57
year old man veteran with a history of recently diagnosed
and excised squamous cell cancer of the pharynx six months
ago, presents with worsening shortness of breath and worsening
left sided head and neck pain of same duration. On physical
examination, he was sitting in a "tripod" position leaning
over a receptacle with copious oral secretions and audible
stridor. He is afebrile and has a WBC of 2,600. He received
radiation therapy to the neck for his cancer.
What's
the diagnosis?
