October 2008

Submitted by Thomas Nguyen, MD and Marcel Maya, MD.

History:

• 6-week-old male with palpable right neck mass.
  
• No fever, chills, dysphagia, respiratory distress or failure to thrive
  

Question:

What is the next step?

• Percutaneous aspiration
  
• Surgery
  
• CT
  
• MRI
  
• Ultrasound