In December 2007, a 44-year-old male living in the Middle East was diagnosed with meningitis. At that time, CT identified a nasopharyngeal mass (7.5 × 4.5 cm) involving the clivus and extending to the suprasellar region. Biopsy reportedly was consistent with nasopharyngeal carcinoma. He underwent five cycles of cisplatin and 5-fluorouracil. Subsequent MRIs in June and September 2008 showed an unchanged mass. He then relocated to the United States. …