Follow-up regarding neck abscesses. Please evaluate soft tissues of the neck for fistulous tracks. There postoperative findings related to prior incision and drainage in the left neck soft tissues. There is no evidence of residual fluid collections in the neck. There is asymmetric effacement of the left piriform sinus. There is now normal alignment of the cervical spine. There is no significant lymphadenopathy. The major salivary glands are unremarkable. The imaged intracranial structures are unremarkable. The imaged portions of the mediastinum and lungs are unremarkable.
Postoperative findings related to left neck incision and drainage of an abscess, without evidence of residual fluid collections. However, a collapsed fistula related to an underlying branchial cleft anomaly cannot be entirely excluded. Therefore, an image-guided fistulogram may be useful for further evaluation.