295.You are viewing at the anterior neck of a 24-year old male medical
student.
He has reddish spot (in circle) that is in the center of a slightly raised
area just anterior to his sternocleidomastoid muscle about one and a half
inches superior to his jugular notch. He has had this reddish raised area for
as long as he can remember. If you push on it, it feels attached to something
that extends superiorly from this location. At times it leaks a little clear
fluid after he has been heavily exercising for long periods of time. What do
you think this congenital anomaly is?
Head and Neck 417a. Glossopharyngeal fistula
b. An internal branchial sinus
c. A branchial fistula
d. A hyperactive sebaceous gland
e. Spina bifida occulta
f. Thyroglossal duct cyst