Assessment #1 case-set #2 case #3 vanderbilt

epiglottitis

retropharngeal thickening

Prevertebral soft tissue widening, possibly representing retropharyngeal abscess. The epiglottis is mildly enlarged which may represent epiglottis. No fracture, malalignment, or foreign body.

Epiglottis is thickened, appearing as “thumb sign”, concerning for epiglottis. Airway patent. Steeple sign not appreciated with lack of frontal view XR.

THickening of the epiglottis concerning for acute epiglottitis

Thickening of the epiglottis and aryepiglottic folds with retropharyngeal soft tissue swelling, compatible with epiglottitis.

retropharyngeal soft tissue edema. Recommend CT of the neck for further evaluation.

epiglottitis or retropharyngeal cellulitis

c/f retropharyngeal abscess

Prominent epiglottis with thickened aryepiglottic folds concerning for epiglottitis.
Prevertebral soft tissue thickening and moderate airway narrowing.

acute epiglottis

thickening of epiglottis concerning for epiglottitis

Thickening of retropharyngeal soft tissue and the epiglottis .

thickening of the epiglottis, in the appropriate clinical setting, could represent epiglottitis. also thickening of the prevertebral soft tissues, which may be due to infectious process. recommend CT of the neck for further evaluation
no acute fracture
no malalignment

FINDINGS:

There is a markedly swollen epiglottis with associated ballooning of the hypopharynx. There is also mild thickening of the prevertebral soft tissues. The bones are unremarkable.

IMPRESSION:

Epiglottitis with associated ballooning of the hypopharynx, concerning for airway compromise. Additional thickening of the prevertebral soft tissues raises concern for retropharyngeal infection. CT can be considered once patient stabilized.

Marked retropharyngeal soft tissue thickening

Enlargement of the epiglottis concerning for epiglottitis

There is retropharyngeal soft tissue thickening concerning for infection or developing abscess.

Evidence of epiglottitis with thumb print sign

Retropharyngeal soft tissue edema

prevertebral soft tissue thickening, concern for retropharyngeal abscess.
no fx, airway patent

Thickening of the epiglottis and aryepiglottic folds concerning for epiglottitis. Recommend ENT consultation. Airway is narrowed but remains patent. No retropharyngeal soft tissue thickening.

Thickening of the prevertebral soft tissues concerning for retropharyngeal edema. Recommend CT neck.

Enlarged adenoids.

acute epiglottitis with retropharyngeal soft tissue swelling.

Prominence of the retropharyngeal soft tissues (equal in thickness when comparing C2 level to C7, measuring X cm), which may represent developing retropharyngeal infection in the setting of fever in this age group. Consider CT of the neck if there is concern for retropharnygeal abscess.

Thickening of the epiglottis and aryepiglottic folds concerning for epiglottitis.

Retropharyngeal soft tissue thickening, which is concerning for infection/abscess. Rec CT neck w/ contrast.

Retropharyngeal soft tissue thickening measuring up to X.

Thickening of the epiglottis and retropharyngeal soft tissues, concerning for acute epiglottitis.

No acute fracture. Airway remains patent.

Thickening of the epiglottis with soft tissue edema in the hypopharynx. Swelling of the adenoid tonsils. Findings are consistent with epiglottitis. Correlate with airway patency.

Retropharyngeal edema measuring up to *** mm at the level of C2. Study somewhat limited by lack of complete extension, thus this finding may be artifactual. Consider repeating if there is concern, or CT soft tissue neck to rule out abscess.

No epiglottic edema. Mild subglottic narrowing, without distinct steeple sign on lateral view.

Retropharyngeal soft tissue thickening spanning approx C1-C4, concerning for fluid collection in this space. CT could further evaluate.

Retropharyngeal soft itssue edema measuring xx. COnsider further evaluation with CT neck to evaluate for drainable abcess.

There is enlargement of the epiglottis and aryepiglottic folds concerning for epiglottitis. There is associated thickening of the prevertebral soft tissues. ENT consultation recommended.

Retropharyngeal soft tissue thickening concerning for retropharygneal edema and/or abscess. Recommend MRI for further evaluation. The airway remains patent. The epiglottis and aryiepiglottic folds are within normal limits. No acute osseous findings.

Retropharyngeal soft tissue swelling, which given the clinical history could represent retropharyngeal abscess. Consider CT neck with contrast for further evaluation.

No acute fracture or traumatic malalignment of the imaged cervical spine (C7 not included).

Enlargement of the epiglottis with “thumb printing” and thickening of the retropharyngeal soft tissues concerning for acute epiglottis.

Retropharyngeal soft tissue thickening measuring X with associated thickenning of the epiglottis and AE folds. Consider CT neck for further evaluation.

Prominent prevertebral soft tissue thickening and thickening of the epiglottic and arytenoid soft tissues. Findings are concerning for acute epiglottitis. Recommend urgent ENT consult and CT with IV contrast.

Prevertebral soft tissue thickening without evidence of gas, abscess of infection consider CT for further eval.

nl

Retropharyngeal edema/abscess

Thickened appearance of the epiglottis and aryepiglottic folds, raising concern for acute epiglottitis. There is additionally thickening of the prevertebral soft tissues concerning for associated prevertebral edema and/or sterility indeterminate fluid, with resultant narrowing of the oropharynx and hypopharynx. Airway remains patent at this time. Further evaluation with cross-sectional imaging is recommended to better characterize these findings.

Thickening of epiglottis and aryepiglottic folds as well as adenoid hypertrophy and prevertebral soft tissue thickening. This constellation of findings is concerning for epiglottitis. Recommend emergent anesthesiology consult to secure airway.

Thickening of the retropharyngeal space, concerning for retropharyngeal infection/abscess. Recommend CT with contrast to assess for drainable fluid collection.

Epiglotitis
Prevert soft tissue swelling

Thickening of the epiglottis and aryeeplgotits folds c/f acute epiglottitis.
retropharyngeal soft tissue thickening may be secondary to epiglottitis or a concurrent retropharyngeal abscess

Retropharyngeal soft tissue thickening and thickening of the epiglottis and aryepiglottic folds which can be seen in acute infection/abscess. The airway is patent.

Epiglottitis and retropharyngeal edema. Consult ENT, secure airway.

Epiglottitis with prevertebral thickening without evidence of a drainable fluid collection. Airway remains patent. Recommend emergent ENT consultation.

Prominent adenoid tonsils.

Thickening of the retropharyngeal space concerning for edema or possible abscess. Recommend CT neck with contrast.

Thickening of the epiglottis and arye folds concerning for epiglottititis.

Findings consistent with epiglottis and pharyngitis.

epi.not extended

Ballooning of hypopharynx with absent air; concern for adenoid hypertrophy.

Possible epiglottic and prevertebral thickening which may represent epiglottitis, or may be secondary to cervical hypoextension.

.

Retropharnygeal soft tissue thickening, which could be seen with retropharnygeal infection given ordering indication. Recommend CT neck with contrast for further evaluation.

THichening of epiglottis and retroph soft tissues.

Prevertebral edema, which could be secondary to a retropharyngeal abscess. Recommend CT neck with contrast for further evaluation.

Pre-vertebral soft tissue swelling which raises concern for underlying mass/abscess. Recommend CT neck with contrast for further evaluation.

Prevertebral thickening may represent prevertebral edema. Consider CT for further evaluation.
Adenoid hypertrophy with mild mass effect on the nasopharynx which remains patent.

prevertebral soft tissue edema, nonspecific though can be seen in retropharyngeal abscess. Recommend CT Neck with.
epiglottis swelling.

Findings concerning for epiglotittis with thickened epiglottis and aryepiglottic folds and retropharyngeal edema.

retropharyngeal st thickening sugg of pharyngitis.

Epiglottitis

thickening of the retrophar soft tissue at the level of the cervical spine

Retropharygneal soft tissue thickening concerning for retropharyngeal abscess.

Prominent soft tissue of the adenoid and palatine tonsils with significant retropharyngeal soft tissue thickening concerning for infection.

thickening of the adenoids and prevertebral soft tissue, highly suspicious for acute adenoiditis.

Thickening of the epiglottis (thumbprint sign) with mild ballooning of the hypopharynx and mild thickening of the retropharyngeal soft tissues. This likely represents acute epiglottitis in the appropriate clinical setting.

retropharyngeal thickening and subtle radiolucency concerning for retropharyngeal abscess.

Retropharyngeal soft tissue thickening concerning for infection/abscess.

retro

Swelling of the epiglottis and prevertebral soft tissue concerning for epiglottitis. Recommend CT soft tissue neck for further evaluation of prevertebral soft tissue.

Adenoidal hypertrophy with severe narrowing of the nasopharyngeal airway.

thickening of retropharyngeal soft tissues concerning for abscess. airway patent

enlarged lingual tonsils

Marked thickening of the retropharyngeal soft tissues concerning for retropharyngeal abscess.

Thickening of the retropharyngeal space which may indicate retropharyngeal edema vs retropharyngeal abscess. Further evaluation with CT soft tissue neck could be considered if clinically indicated.

Epiglottis is normal in appearance. No ballooning of the hypopharynx.

Epiglottitis
Prevertebral edema

Marked thickening of the retropharyngeal soft tissues at the level of C2-C5, concerning for retropharyngeal edema and/or abscess. Consider contrast-enhanced neck CT for further evaluation. Mild enlargement of the epiglottis. No ballooning of the hypopharynx.

Thickening of the epiglottis and ballooning of the hypopharynx, can be seen in epiglottitis.

Swollen epiglottis and thickening of the retropharyngeal joints. Findings concerning for epiglottitis.

thumb print sign retro ph thic

Swelling of the prevertebral ST concerning for infection. Mild swelling of the epiglotis

prevertebral soft tissue edema

–

Epiglottitis