HISTORY:,  The patient is a 51-year-old female that was seen in consultation at the request of Dr. X on 06/04/2008 regarding chronic nasal congestion, difficulty with swallowing, and hearing loss. 
HISTORY : , The patient is a 51 - year - old female that was seen in consultation at the request of Dr. X on 06/04/2008 regarding chronic nasal congestion , difficulty with swallowing , and hearing loss .