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Age: 9 months

Sex: Male

Indication: ? Foreign body

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Case #35


Findings

  • Soft tissue density measuring 17 mm in craniocaudal span just below the hyoid bone
  • Normal appearance of the epiglottis
  • Retropharyngeal soft tissue thickening
  • Prominent adenoids


Diagnosis

  • Normal suboptimal soft tissue neck

Sample Report

Limited soft tissue neck radiograph due to inadequate neck extension. Soft tissue density measuring 17 mm in craniocaudal span just below the hyoid bone, which could relate to the esophageal inlet, though foreign body is not excluded.

Normal appearance of the epiglottis.

Retropharyngeal soft tissue thickening likely relates to suboptimal patient positioning. If there is clinical concern for retropharyngeal edema or abscess, recommend repeat lateral soft tissue neck radiograph or contrast-enhanced neck CT for further evaluation.

Prominent adenoids.


Discussion

  • When you have a limited study, it is important to explain the limitations so that your ordering clinician is not falsely reassured
  • It is not essential (or possible) to be certain about the interpretation of every finding, but it is important to be able to counsel the ordering clinician on what the next steps should be from the standpoint of an imaging workup



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