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Fig. 1B. —75-year-old man with epiglottic carcinoma. Lateral spot image of pharynx from pharyngoesophagogram during swallowing shows epiglottic mass (solid straight arrows) extending inferiorly to level of anterior commissure (open arrow). Also note penetration of barium into larynx and associated aspiration into proximal trachea (curved arrow). This patient had such a bulky mass involving epiglottis that the mass lodged against posterior wall of pharynx during swallowing, preventing epiglottic tilt.