We induced a healthy 45 year old female for cholecystectomy for a history a biliary colic. The patient had an unremarkable airway exam and denied any abnormal ENT symptomatology. After induction the junior resident mentioned “confusing” anatomy on direct laryngoscopy; we performed video laryngoscopy to investigate producing the following images:

We obtained an intraoperative ENT consult and they suspected that it was a lipoma. Since the lesion would not compromise the airway, the ENT team elected to perform a biopsy at a later date so that the patient could be properly consented for the procedure.

The patient was seen in ENT clinic the following week and a surgical excision was performed the following month uneventfully. Pathologic examination confirmed it to be a lipoma as expected.