Extra cranial aneurysms of the internal carotid artery are extremely rare. We report a case of an extracranial internal carotid aneurysm in a 71 year old lady who presented with a right parapharyngeal mass with longstanding symptoms of dysphagia and dysphonia. The importance of MRI/CT to establish a radiological diagnosis before fine needle aspiration cytology or open biopsy of such masses is highlighted.
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