Marked thickening of the epiglottis and aryepiglottic folds
Marked thickening of the epiglottis and aryepiglottic folds concerning for epiglottitis. Recommend ENT consultation.
No retropharyngeal soft tissue thickening.
Epiglottitis has become incredibly rare (but may make a comeback if anti-vaccination trends continue), but even though it is a rare diagnosis, it is important to be familiar with it since it is a diagnosis that can be made on imaging and can be life threatening if not promptly addressed
Remember that while epiglottitis was classically a disease of young children, it now more commonly occurs in teenagers and young adults
To make the diagnosis, both the epiglottis and aryepiglottic folds should be thickened. Slight oblique patient positioning or omega appearance of the epiglottis (a normal variant) can give the appearance of epiglottic edema, but neither should have associated aryepiglottic fold thickening
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