化脓性淋巴结炎伴下行性纵隔炎
左侧颈部脓肿约2.5 x 2 x 2.5 cm，位于颈动脉鞘附近，沿颈动脉鞘向下延伸至上纵隔，符合下行性纵隔炎。上纵隔无明确脓肿形成，但纵隔评估不完整。建议行增强胸部CT进一步评估感染范围。口咽和左侧颈内静脉受压但仍通畅。
咽后水肿，无脓肿。
反应性颈部淋巴结肿大。
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