 After the specimen was taken and the laryngoscope was desuspended from the Mayo stand and Louie arm was removed, the scope was then pulled more cephalad and the piriform sinuses, valecula, and base of the tongue were all directly visualized, which appeared normal except for the left base of tongue appeared to be full. 
After the specimen was taken and the laryngoscope was desuspended from the Mayo stand and Louie arm was removed , the scope was then pulled more cephalad and the piriform sinuses , valecula , and base of the tongue were all directly visualized , which appeared normal except for the left base of tongue appeared to be full .