Pharyngitis with Tonsillitis & Lemierre, CT
Claim CME CreditPOINT OF CARE INFORMATION
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.
CA0125-Pharyngitis with Tonsillitis & Lemierre, CT
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CA0125-Pharyngitis with Tonsillitis & Lemierre, CT
Case ReportHistory
Exam
Findings
Nasopharynx Including Retropharyngeal Lymph Nodes
The lymphoid tissue in the nasopharynx is somewhat hypertrophic consistent with the patient’s age. There is no significant parapharyngeal edema.
Oropharynx
There is inflammation of the palatine and lingual tonsillar tissue as well as the lymphoid tissue along the glossotonsillar sulci and posterior pharyngeal wall.
There is no evidence of tonsillar or peritonsillar abscess with edema in the adjacent left parapharyngeal space and the retrostyloid compartment.
Retropharyngeal Lymph Nodes
There is no reactive or suppurative retropharyngeal lymphadenopathy.
Hypopharynx, Larynx, Deep Neck and Entire Retropharyngeal Space
There is extensive edema within the adjacent deep neck especially in the prevertebral and paravertebral spaces with a lesser degree of retropharyngeal edema.
Vascular Findings
There is evidence of thrombus/occlusion of the left jugular vein. The right internal jugular vein is patent.
Cervical Lymph Nodes
There is reactive cervical lymphadenopathy in level 2, 3 and 5 on the left and less prominent adenopathy in level 2 on the right.
Upper Lung Zones and Mediastinum
The upper lung zones and mediastinum visualized are normal.
Other Findings
There are inconsequential retention cysts in the both maxillary sinuses with mucoperiosteal thickening without aggressive features in the right maxillary sinus.
