Which of the following clinical conditions is most likely to result in hoarseness during speech?
High-Yield Explanation
A tumor of the apical segment of the upper lobe may impinge on the recurrent laryngeal nerve since it ascends from the superior mediastinum to the root of the neck in a groove between the trachea and esophagus. The recurrent laryngeal nerve supplies all intrinsic muscles of the larynx except the cricothyroid.