Bilateral tonsillar enlargement is noted with an increase in vascularity. A 23.5 x 18.3 x 31.1 mm rim-enhancing fluid collection is noted in the right tonsil and a 16.1 x 16.5 x 21.4 mm rim-enhancing fluid collection is noted in the left tonsil. There is associated mild narrowing of the nasopharyngeal airway.
Superior pneumomediastinum with superior extension in the cervical fasciae is noted. The larynx and trachea are normal. The parotid, submandibular and thyroid glands appear normal. No mass or lymphadenopathy is seen. The visible paranasal sinuses, mastoid air cells and middle ear cavities are normally aerated. The skeletal structures and vasculature are normal. The visualized intracranial structures are normal.