A granuloma (gr) is detected as a yellowish growth covering the right arytenoid process. Irritation from reflux of stomach fluids into the voice box is also detected with redness and swelling in vocal folds (vf) and false vocal folds (f vf) and pachyderma or thickening of tissue in the back of vocal folds.

In contrast, a normal voice box (larynx) does not have any growths, and does not exhibit redness, swelling, or any thickening of the surface cover.