Bilateral Pharyngitis with Peritonsillar Abscess, CT
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This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0123-Bilateral Pharyngitis with Peritonsillar Abscess, CT
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CA0123-Bilateral Pharyngitis with Peritonsillar Abscess, CT
Case ReportHistory
Exam
Findings
Nasopharynx Including Retropharyngeal Lymph Nodes
There is excessive enhancement or thickening of the mucosa and hypertrophy of the lymphoid tissue in the nasopharynx, most prominent on the right side. There is edema within the fat of the adjacent parapharyngeal space on the right.
Oropharynx
The oropharyngeal airway is somewhat narrowed.
There is excessive enhancement and thickening of the mucosa or hypertrophy of the palatine or lingual tonsillar tissue, the lymphoid tissue along the glossotonsillar sulci and posterior pharyngeal wall consistent with a diagnosis of pharyngitis.
There is an abscess at the periphery of the lymphoid tissue of the right palatine tonsil within the potential peritonsillar space. There is a small abscess relatively centrally within the lymphoid tissue of the left palatine tonsil.
There is related edema and possibly cellulitis within the fat of the adjacent parapharyngeal space on the right.
Retropharyngeal Lymph Nodes
There is reactive retropharyngeal lymphadenopathy on the right.
There is no suppurative retropharyngeal lymphadenopathy.
Cervical Lymph Nodes
There is generalized reactive cervical adenopathy on both sides. There is no suppurative cervical lymphadenopathy.
Vascular Findings
There is no evidence of thrombus, thrombophlebitis or other occlusive or inflammatory process of the jugular vein or smaller venous tributaries.
Impression
The oropharyngeal airway is moderately narrowed.
There is no vascular thrombosis.
