<s>[INST] my son is 4 years old he just took an xray and it shows there is prominence of soft tissue in the nasopharyngeal region with mild narrowing of the air column due to moderate degree enlarge adenoids ther is soft tissue prominence in the oropharynx likely due to enlarged palatines and tonsils [/INST] Hello, Enlarged adenoids, tonsils, and palate mean the presence of chronic inflammation. It requires anti-inflammatory medication. But if the enlarged soft tissue leads to any of the following symptoms, then surgery required removing the adenoids and tonsils. These symptoms include1) Snoring at night.2) Sleep apnea.3) Difficulty breathing.4) Recurrent ear and sinus infection.5) Requiring more than three courses of antibiotics per year. Hope I have answered your query. Let me know if I can assist you further. </s>