Great case! We had something similar, but it was a post-surgical traction diverticulum / sinus tract after laryngectomy. We proved it with CEUS, having the patient drink diluted ultrasound contrast and showing the structure fill with contrast!
No, but that doesn’t mean we shouldn’t be curious.
Also, I was asked to test the new forum, so I’m testing it out. Seems to be working. I received an email notification.