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    Subjects/ENT/Vocal Cord Paralysis
    Vocal Cord Paralysis
    medium
    ear ENT

    A 58-year-old man presents with progressive hoarseness and dysphagia for 3 weeks. He has a 20-pack-year smoking history and reports weight loss of 4 kg. On examination, he has a palpable left supraclavicular lymph node. Laryngoscopy reveals a left vocal cord in paramedian position with reduced mobility. CT chest shows a 3 cm left hilar mass with mediastinal lymphadenopathy. Which nerve is most likely compressed by the tumor?

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