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Age: 58

Sex: Male

Indication: Strep pharyngitis, respiratory failure

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Case #1


Findings

  • Enlarged right palatine tonsil. Extensive edema and inflammatory changes in the right neck centered around the right palatine tonsil and parapharyngeal space with intermixed ill-defined fluid and gas collections, several of which demonstrate peripheral enhancement
  • Partially imaged endotracheal tube with fluid in the pharyngeal airway
  • Ill-defined retropharyngeal edema without peripherally enhancing collection
  • Left upper lobe airspace disease


Diagnosis

  • Peritonsillar abscess
  • Pneumonia

Sample Report

Enlarged right palatine tonsil with extensive surrounding inflammatory changes in the parapharyngeal space consistent with tonsillits and deep neck cellulitis. Intermixed fluid and gas collections are concerning for developing abscess versus sequela of ruptured peritonsillar abscess.

Ill-defined retropharyngeal edema without abscess, which could be reactive to the above described infectious process or could relate to intubation.

Fluid in the pharyngeal airway likely relates to the patient’s intubated status.

Left upper lobe pneumonia, partially imaged. Chest CT could further evaluate.


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