Findings:
There is symmetric enlargement and striated enhancement pattern of the palatine tonsils, which are abutting the contralateral palatine tonsil at the midline. There is similar enhancement pattern and enlargement of the pharyngeal tonsils. There is a small amount of trapped fluid within the tonsils and pharyngeal wall. There is no evidence of a tonsillar or peritonsillar abscess or spread of inflammation to the deep spaces of the neck. There are numerous prominent bilateral cervical lymph nodes, some enlarged especially at level 2.

There is overall small size and complete opacification of the right maxillary sinus with lateralization of the uncinate process and widening of the middle meatus. There are pneumatized Haller air cells bilaterally, right more than the left. The infraorbital canal appears widened on the right side.

There is a 5x5mm hypodense multicystic nodule in the posterior right thyroid gland.

Impression:
Symmetrically enlarged palatine tonsils bilaterally compatible with reactive tonsillar
hyperplasia and superimposed tonsillitis in the right clinical context. No evidence of
rim-enhancing tonsillar or peritonsillar abscess.

Diffusely increased bilateral cervical lymph nodes that are likely reactive and related to the
known diagnosis of infectious mononucleosis.

Complete opacification of the right maxillary sinus with a pattern of findings suggestive of an
atelectatic sinus, as described.

Right thyroid gland nodule.

Recommendations:
For your training purposes, recommendations are not included in this report.