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Case #46

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Demographics: 2 months old, Male
Indication: Fever, drooling

Findings

  • Retropharyngeal/prevertebral soft tissue thickening, though the lateral view is obtained in flexion
  • No ballooning of the hypopharynx or evidence of subglottic tracheal narrowing
  • Epiglottis is not well evaluated

Diagnosis

Retropharyngeal edema versus normal

Sample Report

Retropharyngeal/prevertebral soft tissue thickening, which could be artifactual related to imaging in flexion. Recommend repeat lateral radiograph with neck in extension or CT for further evaluation depending on the level of clinical suspicion.

Limited evaluation of the epiglottis.

Discussion

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