It was reported that the patient has neck swelling and that the patient had a recent placement of the vns on the left.The patient also has sensation of throat tightening.The patient was assessed left vocal cord paralysis was identified and abnormal asymmetric thickening of the left aryepiglottic fold which lies cephalad of the paralyzed left vocal cord.There was also a 13 mm solid nodule at the inferior pole of the left thyroid lobe.The patient¿s device has not been programmed on yet.Information was received from the patient that she can barely talk or breathe.The likely cause of the paralysis was from the surgical procedure.No additional or relevant information has been received to date.
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