Demographics:
64 years old, Male
Indication:
Throat pain, fever, drooling
Findings
- Marked edema/thickening of the epiglottis and right greater than left aryepiglottic folds
- Narrowing of the supraglottic larynx, which remains patent
- Heterogeneity of the palatine tonsils without discrete abscess
- Reactive cervical lymphadenopathy
- Asymmetric medialization of the right vocal fold, suggesting some degree of paresis
- Partially imaged sellar/suprasellar mass
Diagnosis
Acute epiglottitis
Sample Report
Extensive edema of the epiglottis and right greater than left aryepiglottic folds is consistent with epiglottitis, which could be infectious, inflammatory, or related to angioedema. Narrowing of the supraglottic larynx, which remains patent. Urgent ENT consultation is advised.
Heterogeneity of the palatine tonsils without discrete abscess.
Reactive cervical lymphadenopathy without suppuration or venous thrombosis.
Incidental sellar/suprasellar mass. Recommend nonemergent pituitary protocol brain MRI for further evaluation.
Discussion