Figure 10c. Tumorlike nodules of the true vocal cords that manifested as hoarseness. (a) Axial CT scan obtained during quiet respiration shows apposition of the thickened true vocal cords (arrows). (b) Axial CT scan obtained during phonation shows a nodule of the right true vocal cord (arrow). The nodule is clearly visible due to tension of the true vocal cords. (c) Volume-rendered laryngogram obtained during phonation shows the thickening of the true vocal cords (black arrows). The false vocal cords (white arrows) and laryngeal ventricles (arrowheads) are clearly seen. (d) Coronal reformatted image obtained during phonation shows the thickening of the true vocal cords (arrows). The false vocal cords (*) and laryngeal ventricles (arrowheads) are also seen. (e) Image from endoscopy shows two lesions of the true vocal cords. Histopathologic evaluation revealed Reinke edema (pseudocysts).