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Age: 64

Sex: Male

Indication: Throat pain, fever, drooling

Save ("V")

Case #8


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
  • Medialization of the right vocal cord, suggesting some degree of paresis
  • Partially imaged sellar mass


Diagnosis

  • Acute epiglottitis

Sample Report

Extensive edema of the epiglottis and right greater than left aryepiglottic folds is consistent with epiglottits, 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 right sellar mass. Recommend nonemergent pituitary protocol brain MRI for further evaluation.


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Images

Normal epiglottis (red arrow) and aryepiglottic fold (yellow arrow). Edematous epiglottis (red arrow) and aryepiglottic fold (yellow arrow).



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