Report
Dr. Yousem has provided the following report as a sample report for your reference. It does not match the case reviewed in the video.
INDICATION: Sore throat and neck swelling.
TECHNIQUE: CT of the neck was performed following the administration of intravenous contrast. Sagittal coronal reformatted images.
COMPARISON: None available.
FINDINGS:
Multilobulated rim-enhancing fluid collection in the right peritonsillar region measuring approximately 2.2 x 2.0 x 3.3 cm with surrounding inflammatory stranding, compatible with peritonsillar abscess. Mild effacement of the right aspect of the oral pharyngeal airway. Bilateral tonsillar enlargement is present, right greater than left. There is also adenoidal enlargement. Lingual tonsillar hypertrophy, right greater than left is also present.
Nasopharynx, hypopharynx and larynx appear unremarkable. Parotid glands, submandibular glands and thyroid appear normal. Oral cavity unremarkable.
Multiple enlarged lymph nodes including a 1.8 cm level 2A lymph node on the right side is present.
Limited evaluation of the intracranial compartment is unremarkable. Orbits normal. Mild mucosal thickening in the maxillary sinuses. Mastoid air cells clear.
Visualized lung apices appear clear.
Reversal of normal cervical lordosis, likely positional. No spinal canal or neural foraminal narrowing.
IMPRESSION:
3.3 cm right peritonsillar abscess with surrounding inflammatory changes. Diffuse pharyngitis.
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Tags
Neuroradiology
Head and Neck
Emergency
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