Pharyngitis with Suppurative Retropharyngeal Lymphadenitis, 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.
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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.
CA0134-Pharyngitis with Suppurative Retropharyngeal Lymphadenitis, CT
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CA0134-Pharyngitis with Suppurative Retropharyngeal Lymphadenitis, CT
Case ReportHistory
Exam
Findings
Nasopharynx Including Retropharyngeal Lymph Nodes
The lymphoid tissue in the nasopharynx is hypertrophic as a normal variant.
Oropharynx
There is hypertrophy of the palatine and lingual tonsillar tissue. with likely cellulitis the left palatine tonsil without evidence of frank abscess. There is edema within the fat of the adjacent parapharyngeal space.
Retropharyngeal Lymph Nodes
There is suppurative retropharyngeal lymphadenopathy on the left with maximum short axis diameter of the suppurative focus measured at 27 mm x 29 mm without evidence of extra nodal spread. Secondary, the oropharyngeal wall is displaced medially without significant narrowing of the airway. There is edema within the adjacent retropharyngeal spaces. There is reactive retropharyngeal lymphadenopathy on the right.
Hypopharynx, Larynx, Deep Neck and Entire Retropharyngeal Space
The visceral compartment is essentially normal with the exception of minimal pharyngeal wall edema and minimal edema in the upper retropharyngeal space and adjacent deep neck.
Major Salivary Glands
The major salivary glands are normal
Other Cervical Lymph Nodes
There are enlarged reactive lymph modes in level 2 on the left. 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 inflammation of the common, external or internal carotid artery.
Upper Lung Zones and Mediastinum
The upper lung zones and mediastinum visualized are normal.
Other Findings
There is mucoperiosteal thickening in the maxillary sinuses, the sphenoid sinus and the ethmoidal air cells without aggressive features.
