LAUSR

Securing the airway in a patient with a head and neck mass is often challenging [1,2]. The location, size, and character of the mass can impede the anesthesiologist from safely extending the neck, opening the mouth, or placing airway devices such as an oral airway, LMA, or laryngoscope blade. Masses involving the larynx present an additional challenge of potential airway obstruction [2,3]. These cases can present with workup limited to labs and radiology imaging. In the absence of fiberoptic endoscopy or indirect laryngoscopy, imaging may be the only available map of the patient's airway. Imaging studies are typically read by a radiologist with their findings documented in a finalized report. In a multidisciplinary tumor board, surgeons and oncologists often review CT and MRI scans with a radiologist for management and surgical planning [4,5]. A radiologist can address specific questions regarding patient anatomy and tumor characteristics.Wewould like to highlight the usefulness and accessibility of consulting a radiologist preoperatively for airway management planning. In a hospital this can be accomplished in a timely manner by telephoning or presenting in person to the radiology reading room. A54 year oldmale (178 cm, 111 kgmale)with a 50pack year smoking history presented for a tracheostomy and biopsy of a newly identified large epiglottis mass. Symptoms include dysphagia, difficulty speaking, unable to tolerate the supine position, and 60 lb weight loss over a 3 month period. CT neck report showed a “2.8 × 3.2 × 3.5 cmmass likely arising from the superior aspect of the epiglottis. This contacts the inferior