Status post tonsillectomy and neck drainage now with fevers and increased WBC's. Evaluate for abscess. There are postoperative findings related to bilteral tonsillectomy and left deep neck incision and drainage with decrease in inflammatory changes since the prior CT. There is minimal fluid that may represent oropharyngeal secretions and residual soft tissue thickening along the left pharyngeal wall and the previously demonstrated left pharyngocutaneous fistulous tract is less conspicuous compared to the prior CT, accounting for differences in techniques. However, there is no evidence of residual drainable fluid collections within the neck soft tissues, although evaluation for abscess is limited by lack of intravenous contrast. There is no significant cervical lymphadenopathy. The thyroid and major salivary glands appear unremarkable. The major cervical vessels demonstrate normal flow voids. The osseous structures are unremarkable. The imaged intracranial structures and orbits are unremarkable. There is mild mucosal thickening in the maxillary sinuses.
Postoperative findings related to bilateral tonsillectomy and left deep neck incision and drainage with minimal probable oropharyngeal secretions and residual mucosal thickening along the left pharyngeal wall. Likewise, the previously demonstrated left pharyngocutaneous fistulous tract and surrounding inflammatory changes are less conspicuous, accounting for differences in techniques. However, the evaluation is somewhat limited by lack of intravenous contrast, acknowledging the patient's renal insufficiency.