29-year-old female with neutropenic fever, sore throat for 1 week and an enlarged lymph node in the right neck. Evaluate for abscess. Enlarged right cervical lymph node near the carotid bifurcation (image 47, series 10535) does not appear necrotic and measures 15 mm in short dimension, indicating inflammation. No other enlarged lymph nodes or evidence of abscess.Patent and unremarkable vasculature. Asymmetric prominence of the right adenoids. Nonspecific thickening of the tongue base is symmetric and may be correlated clinically for significance. Airway appears patent. Paranasal sinuses and mastoid air cells are well-pneumatized. No significant prevertebral soft tissue swelling. Cervical spine with unremarkable alignment.Visualized upper lungs are unremarkable.
Enlarged right cervical lymph node and nonspecific tongue base thickening associated with right parapharyngeal adenoidal enlargement. Please correlate with clinical exam findings.