Left sided PTA. Neck CT:There is soft tissue thickening and enlargement of the left palatine tonsil, with soft tissue thickening and edema extending to the rest of the oropharynx and hypopharynx resulting in effacement of the left piriform sinus. The edematous soft tissue abnormality extends into the left submandibular and sublingual space. Cervical lymphadenopathy is seen in the neck bilaterally, greater on the left.No discrete fluid collection is seen to suggest abscess.There is mild diffuse sclerosis of the cervical spine bony structures, but no focal lesion is seen.There is a cystic lesion in the right middle cranial fossa, and may represent an arachnoid cyst. It is incompletely visualized, and can be further evaluated with MRI brain.
1. Extensive soft tissue abnormality involving the left palatine tonsils, oro- and hypopharynx, with edematous soft tissue thickening extending into the left submandibular and sublingual space. Findings suggest most likely infectious / inflammatory process. Please also correlate clinically.2. Cerivcal adenopathy greater on the left, probably reactive.3. Mild diffuse sclerosis of cervical spine may be seen in patients with metabolic and endocrine disease. Please correlate with clinical parameters.4. Right middle cranial fossa arachnoid cyst. Further imaging can be obtained with MRI brain.