The second patient was a 17-year-old girl without family history of TB. She presented with numerous bilateral cervical lymphadenopathies and nasal obstruction. Nasal endoscopy found a polypoid uprising of the superior and posterior nasopharyngeal walls. CT scan showed a nasopharyngeal mass with central hypodensity suggesting tissue necrosis (Figure 3), with multiple cervical lymphadenopathies. A biopsy was performed.