26-year old female in the emergency room with throat pain, fever and possible aggressive pharyngitis, tonsillar or peritonsillar, infection/ abscess.
Contrast-enhanced CT of the maxillofacial region and neck and related anatomy with images obtained in the balanced or venous vascular phase to ensure optimal visualization of both arterial and venous structures as well as possible reactive changes around infected collections. 0.5-3.0 mm thick sections were obtained in the axial plane and reformatted 3D and/or in the coronal and sagittal planes and viewed inter actively in 3 dimensions at the computer work station.
Pharyngitis and tonsillitis with peritonsillar abscess on the right and a minimal tonsillar abscess on the left as described above.
The oropharyngeal airway is moderately narrowed.
There is no vascular thrombosis.
The emergency medical service team was notified verbally that there was a tonsillar abscess present and they consulted the otolaryngology service at that time to help with further management.