Assessment #1 case-set #3 case #13 vanderbilt

tonsillar abscess

Right lingual tonsil and palatine tonsil abscess. Effacement of the airway which remains patent.

Loculated fluid collection in the right retropharyngeal space, likely abscess.

f

Right peritonsillar abscess measuring approximately ___ cm. Mass effect on the airway. Multiple enlarged lymph nodes, favored reactive. No cute osseous abnormalities. Possible right thyroid nodule measuring approximately ___. Recommend ultrasound for further evaluation.

abs

Well-defined peripherally enhancing lesion centered in the right palatine tonsil with adjacent soft tissue stranding, with edematous involvement into the retropharyngeal space. There is resultant mild leftward deviation of the pharynx, which remains widely open. Reactive cervical lymphadenopathy.

Right peritonsillar abscess with enlarged lymph nodes.

Right peritonsillar abscess with mild mass affect on the airway. Small amount of prevertebral edema along with right eccentric prevertebral space. Recommend emergent ENT consult.

Right multiloculated peritonsilar abscess with largest focus measuring xx. Associated right eccentric RP edema without abscess extending to c4. Mild leftward mass effect on the airway which remains patent.

Enlarged cervical lymph nodes without supparation, favored reactive.

Acute right peritonsillar abscess measuring xx. The airway remains patent. No retropharyngeal edema.

Large right peritonsillar abscess with surrounding reactive enlarged lymph nodes. Airway is patent.

round, circumscribed hypodense lesion in right tonsillar region with peripheral rim enhancement, concerning for right peritonsillar abscess. tiny punctate hyperdensities in bilateral tonsillar regions, which likely represent tonsilliths. mildly enlarged right submandibular and cervical lymph nodes, likely reactive.

Right peritonsillar abscess

FINDINGS:

There is rim-enhancing fluid collection in the right peritonsillar area. No evidence of airway compromise or vascular involvement. The vessels of the neck are patent. Reactive cervical lymphadenopathy. Emphysematous changes in the lung apices. Degenerative changes in the cervical spine.

IMPRESSION:

Right peritonsillar abscess.

There is a right sided peritonsillar rim-enhancing fluid collection consistent with an abscess. This is causing mass effect into the right side of the oropharynx. No other visible acute findings in the neck or upper chest.

tonsillar/peritonsillar abscess formation with airway compresion.

peritonilar

Large right peritonsillar abscess which causes mass effect without effacement of the pharynx.
Scattered enlarged LN without necrotic or suppurative changes, favored reactive.

right sided peritonsillar abcess measuring X with surrounding edema and mild prevertebral/retropharyengeal edema with mild mass effect on the airway, which remains patent.
reactive adenopathy without suppurative change.

acute r peritonsillar abscess with local mass effect on the oropharynx without airway compromise. reactive LAD. no venous thrombus. no RP edema or abscess.

large right sided hypoattenuating collection with peripheral hyperattenuation located in the R palatine tonsil, c/f PTA. no prevertebral/retropharyngeal edema, multiple likely reactive LNs.

Right peritonsilar abscess.
Cervical lymphadenopathy without suppurative features.

Right peritonsillar abscess.

Hypoattenuating collection with peripheral enhancement over the right tonsil, measuring up tp X, c/w peritonsillar abscess. Reactive cervical lymphadenopathy.

right peritonsillar abscess. airway remains patent.

Right peritonsillar abscess with mass effect on the oropharynx, though the airway remains patent at this time. Abscess measures AxBxC. Reactive lymphadenopathy without supprative changes. Recommend ENT consultation.

Peripherally enhancing fluid collection measuring xx centered in the right pharyngeal space representing tonsilalr/perotpnsilalr abscess. Associate mass effect on the oropharynx without ariway compromise. No pre-vertebral edema or abscess.

Low density collection with peripheral enhancement consistent with right peritonsillar abscess.

Low density rim enhancing lesion measuring x X x mm at/adjacent to the right palatine tonsil concerning for peritonsillar/tonsillar abscess. There is associated airway compression although trachea remains patent. No internal jugular thrombosis. No retropharyngeal edema.

Dental disease with additional very small rim enhancing lesions subadjacent to the mandibular body concerning for odontogenic subperiosteal abscess.

Numerous reactive lymph nodes within the jugular chain.

Right tonsillar/peritonsillar abscess measuring x cm with x mm leftward mass effect on the airway which remains patent at this time. An additional x mm peripheraly enhancing low density lesion posterior to this collection is favored to represent a suppurative retropharyngeal lymph node (intranodal abscess) versus another site of peritonsillar abscess.

R peritonsillar abscess. There is mild leftward deviation of the oral airway but it is patent. Reactive lymphadenopathy. Recommend surgical consultation.

Large right tonsillar abscess measuring x by x by x which causes local mass effect on the airway, which is narrowed but remains patent. Enlarged right sided lymph nodes.

Hypodense fluid collection (measure) with peripheral enhancement within the right posterior oropharynx representing a peritonsillar abscess. Associated deviation of the airway to the left, blunting of the parapharyngeal fat pad, and retropharyngeal edema. Nearby subcentimeter hyperdensities favor tonsoliths.

Right peritonsillar abscess

-Right sided peritonsillar abscess measuring X without significant airway compromise
-Reactive lymphadenopathy without suppurative changes on the right

R peritonsillar abscess with mass effect on the hypopharynx without compromise.

Right peritonsilar abscess extending into the retropharyngeal space. The airway is slightly narrowed. There is surrounding lymphadenopathy. No vascular or osseous involvement.

Enlarged hyperenhancing right palatine tonsil. Hypoattenuating collection within the right palatine tonsil with peripheral enhancement and extension into the peritonsilar and parapharyngeal space to the floor of the mouth, concerning for tonsilar abscess. Local mass effect on the oropharynx and larynx, which remain patent. Reactive nonsupparative cervical lymphadenopathy. No retropharyngeal edema. Possibly odontogenic source, given multiple dental caries. No subperiosteal abscess.

Pta
Lad

Peripherally enhancing lesion measuring X cm in the right palantine tonsil with associated enlarged reactive cervical lymph nodes consistent with tonsilitis with peritonsilar abscess.

r palatine peritonsilar abscess with reactive nodes. extends to retropharyngeal space on the right
no airway compromise

acute tonsillitis with a R peritonsillar abscess measuring xxx. no airway compromise. no retropharyngeal edema/abscess.
reactvive lymph nodes w/ suppartive denitis.

Acute right peritonsillar abscess with surrounding edema extending down the right retropharyngeal space, resulting in mass effect on the carotid space and airway. No significant airway obstruction or venous thrombus. Recommend ENT consultation.

Bilateral lymphadenopathy without suppuration.

Reversal of the normal cervical lordosis without acute osseous, pulmonary, or other soft tissue findings.

bilataeral palatine tonsilitis with tonsilar/peritonsilar abscess measuring

retropharngeayl edema extending from c2 to c3

Right peritonsillar abscess measuring blank within the right pharyngeal mucosal soft tissues and extending inferiorly into the right palatine fossa and parapharyngeal space. adjacent enhancement consistent with nasopharyngitis.

No vascular involvement.

Minimal retropharyngeal edema without drainable fluid collection.

right peritonsillar abscess. airway is patent.

Peritonsillar abscess. Only coronal images loaded

PTA

R peritonsillar abscess with mild effacement of the hypopharynx.

right periktonsilar abscess

Large hypoattenuating collection with peripheral enhancement in the right palatine tonsil, consistent with peritonsillar abscess. Mass effect on the nasopharynx without airway compromise.

Right peritonsillar abscess; the airway is patent, but there is some mild mass effect. Reactive lymph nodes noted in the soft tissues of the neck.

right peritonsillar abscess

Enlarged striated appearance of the bilateral palatine tonsils consistent with tonsilitis with right tonsilar/peritonsillar abscess measuring x cm. Mild mass effect on the airway which remains patent. 7
Nonopacification of the right sigmoid sinus concerning for dural venous sinus thrombosis.
Prevertebral edema without distinct abscess.

Acute tonsillar/peritonsillar abscess with reactive lymph nodes. Airway is patent, though there is some local mass effect from right to left. Noretropharyngeal edema. Epiglottis is normal.

peritonsillar abscss.

Peritonsillar abscess

Right tonsillar abscess. Retropharyngeal edema with airway compromise.

peritonsillar abscess

There is an irregular area of hypodensity within the right peritonsillar region causing local mass effect with mild effacement of the oropharynx towards the left, consistent with right peritonsillar abscess. Otherwise, the airway is patent. The prevertebral and retropharyngeal space are normal in appearance.

Right peritonsillar abscess.

peritonsilar abscess and floor of mouth abscess with lymphadenopathy

peritonsillar abscess

Right sided palantine tonsillar abscess measuring x by x. There are miultiple enlarged right sided cervical lymphnodes without suppurative changes. Abscess exerts mass effect on the airway, which remains patent.

Peritonsillar abscess – low density fluid collection with rim enhancement

Peripherally enhancing low attenuation collection centered within the right palatine tonsil concerning for right peritonsillar/tonsilar abscess. There is mild retropharyngeal edema without a discrete drainable collection. Right greater than left cervical chain lymphadenopathy without suppartive change. No acute vascular complications.

Right peritonsillar abscess measuring x cm with mild mass effect on the oropharynx, which remains patent. Reactive right level II cervical lymphadenopathy without suppurative changes.

Large right peritonsillar abscess.

Right peritonsillar abscess, with resultant distortion of the upper airwa.

Right peritonsillar abscess with several enlarged cervical lymph nodes.

Tonsillitis with large right peritonsillar abscess, adjacent edema and lymphadenopathy. No retropharyngeal extension.

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Multiloculated rim enhancing right palatine tonsil fluid collection with mild air way narrowing. Reactive cervical lymph nodes.