Age: 44
Sex: Male
Indication: Throat pain, difficulty breathing
Save ("V")
Case #11
Findings
- Diffuse edema of the oropharynx and supraglottic larynx extending into the parapharyngeal soft tissues
- Asymmetric lower left facial skin thickening and subcutaneous fat stranding extending from the left premandibular region into the upper anterior neck with thickening of the left platysma muscle
- Tiny apparent fluid collection in the vallecula
- No solidly enhancing mass
- Extensive paranasal sinus disease with intermixed high density material
- Biapical pleural-parenchymal scarring with centrilobular and paraseptal emphysema
Diagnosis
- Angioedema
Sample Report
Diffuse soft tissue edema of the oropharynx and supraglottic larynx which could relate to angioedema or multispatial infection. No drainable fluid collection. Recommend ENT consultation.
An apparent tiny fluid collection in the vallecula may represent fluid extending into a tonsillar crypt, though a developing submucosal collection is a differential consideration. Recommend attention on followup imaging.
Asymmetric lower left facial skin thickening and subcutaneous fat stranding which also may relate to angioedema or cellulitis (potentially odontogenic given left mandibular dental disease).
Extensive paranasal sinus disease with intermixed high density material likely representing inspissated secretions or chronic fungal colonization. No findings to suggest invasive sinus disease.
View shortcuts
Zoom/Pan
Full screen
Window/Level
Expand/collapse
Scroll
Save the case
Close case/tab
Toggle presets
Previous series (if multiple)
Next series (if multiple)
