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, sepsis
TECHNIQUE: Axial images of the neck from the level of the frontal sinuses to the thoracic inlet following intravenous contrast.
FINDINGS:
The visualized portions of the brain are normal. The orbits show no abnormalities. The paranasal sinuses are clear.
The nasopharynx shows minimal adenoidal hypertrophy, age-appropriate. The palatine tonsils show mild enlargement, left greater than right. There is an area of low density within the anterior portion of the left palatine tonsil measuring 1.3 cm x 0.7 cm x 0.9 cm seen best on series 2 image 48. This is associated with prominence to the lymphoid tissue of the inferior left palatine tonsil extending to the lingual tonsillar tissue.
The epiglottis is thickened and there is edema affecting the left aryepiglottic fold as well. The piriform sinus is obliterated on the left side. This extends to the false vocal cord on the left side greater than right.
The esophagus, trachea, and thyroid gland are unremarkable. A catheter seen coursing into the lower left jugular vein.
The upper lung fields are clear. The spine is unremarkable.
There is reactive lymphadenopathy in the jugular chains bilaterally, left greater than right.
IMPRESSION:
1.3 cm left palatine tonsil peritonsillar abscess with associated tonsillitis and pharyngitis.
Additional swelling is present in the epiglottis and left greater than right supraglottic larynx with mild airway narrowing and extension to the left piriform sinus. Recommend ENT evaluation.
