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Adenoid and palatine tonsil on lateral radiograph

Case contributed by Dr Maulik S Patel

Presentation:

On examination - mouth breathing.

Patient Data:

Age: 6
Gender: Male
Modality: X-ray

Enlarged adenoid (measuring 20 mm) and palatine tonsils.

Case Discussion:

On radiographs, if the adenoid measures > 12 mm in 2-10 year age group this is abnormal. It is seen as soft tissue indenting / obstructing nasopharyngeal air column.

The palatine tonsils are seen easily in clinical examination so radiographs are not indicated for their assessment. The palatine tonsil is seen as a soft tissue prominence or mass postero-inferior to the soft palate.

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