WIDI - CA0152-Pharyngitis, uncomplicated, CT

Pharyngitis, uncomplicated, CT

Claim CME Credit

0.5 CME Credit available on completion

POINT 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.

CA0152-Pharyngitis, uncomplicated, CT

History

52-year old male with fever, dysphagia and possible aggressive pharyngitis or other infrahyoid neck infections involving the infra hyoid deep neck.

Exam

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.

Prior Study

N/A

Findings

Nasopharynx including retropharyngeal lymph nodes

The nasopharynx appears normal with no evidence of suppurative retropharyngeal adenitis.

Oropharynx including retropharyngeal lymph nodes

The posterior wall of the oropharynx is thickened with possibly minimal edema in the adjacent retropharyngeal space.

Hypopharynx, larynx, deep neck and entire retropharyngeal space

There is increased enhancement and thickening of the mucosa within in the hypopharynx most pronounced along the posterior pharyngeal wall. There is minimal edema in the adjacent retropharyngeal space. The ary-epiglottic folds and the false vocal cords/laryngeal vestibules appear edematous.

Cervical Lymph Nodes:

There is one lymph node in level 2 on the left that appears near normal, likely reactive in nature.

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.