Pharyngitis - Suppurative Retropharyngeal Adenitis, 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.
CA0127-Pharyngitis - Suppurative Retropharyngeal Adenitis, CT
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CA0127-Pharyngitis - Suppurative Retropharyngeal Adenitis, CT
Case ReportHistory
Exam
Findings
Nasopharynx and Oropharynx
There is excessive enhancement and thickening of the mucosa and hypertrophy of the lymphoid tissue in the nasopharynx. There is no evidence of a developing abscess within the lymphoid tissue of the nasopharynx. There is edema within the fat of the adjacent parapharyngeal and retropharyngeal spaces which likely to some extent also involves the prevertebral space at this level secondarily.
There is excessive enhancement and thickening of the mucosa and hypertrophy of the palatine and lingual tonsillar tissue and the lymphoid tissue along the glossotonsillar sulci and posterior pharyngeal wall. There is no evidence of focal abnormality of the oropharyngeal tonsillar tissue. There is edema within the fat of the adjacent parapharyngeal and retropharyngeal spaces which may also involve the prevertebral space at this level secondarily.
The related soft tissue swelling produces some mild airway encroachment.
Retropharyngeal Lymph Nodes
There is bilateral reactive retropharyngeal lymphadenopathy.
There is right-sided suppurative retropharyngeal lymphadenopathy the suppurative node measuring less than 2 cm in maximum short axis dimension. There extensive edema within the adjacent parapharyngeal and retropharyngeal spaces.
Oral Cavity, Floor of the Mouth, Maxilla and Mandible
There is no significant abnormality of the oral cavity or related spaces. There is edema within the fat of the adjacent parapharyngeal and retropharyngeal space.
Cervical Lymph Nodes
There is level 2 reactive cervical adenopathy. 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. There is no evidence of thrombus, inflammation of the common, external or internal carotid artery. There is no evidence of active extravasation or a contained leakage from an arterial source.
Upper Lung Zones and Mediastinum
The upper lung zones and mediastinum visualized are normal.
Other Findings
Other significant abnormal findings are not present.
