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Case 41 : เด็กชายไทยอายุ 4 เดือน ภูมิลำเนา จ.เชียงราย
Retropharyngeal abscess
Case 41 :
เด็กชายไทยอายุ 4 เดือน ภูมิลำเนา จ.เชียงราย
Lateral soft tissue of the neck (n1)
- Thickening retropharyngeal soft tissue from level of C1-C5, no air within the lesion.
- Obliteration of air in nasopharynx and oropharynx, and anterior displacement of hypopharynx.
- Straight (not extended) cervical spine.
Impression: Widening retropharyngeal soft tissue, probable retropharyngeal abscess.
CT neck: axial plane at level of oropharynx (n2)
- Large lobulated area of fluid density with enhanced wall behind oropharynx (seen with indwelling NG tube) in midline location and extending right laterally behind right carotid space and sternocleidomastoid muscle to right lateral neck
Impression; Retropharyngeal abscess with extension of the abscess to the right side of neck
CT neck: Reformatted image in coronal plane anterior to the cervical spine (n3)
- The image show supero-inferior extension of the abscess.