According to the LRINEC score: ​​<5 points is a low probability of NF; 6-7 points is an intermediate risk, > 8 points suggest an high risk of NF. A CT scan and advice from the infectious disease specialist are not available at the peripheral hospital at night and at weekends. For this reason our patient has been centralized in the Hub center of Reggio Emilia, where she has performed blood cultures and a CT of the neck and thorax, that identified inflammatory imbibition of the laterocervical soft tissues of the right hemithorax and mediastinal adipose tissue.