Adenoid and palatine tonsil on lateral radiograph
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6 yr boy. On examination - Mouth breathing.
Enlarged adenoid and palatine tonsils is a leading cause of obstructive sleep apnea in children.
In radiograph, if adenoid measures > 12 mm in 2 - 10 yrs age group; - Abnormal which is seen as soft tissue indenting / obstructing nasopharyngeal air column. Here size is 20 mm.
Palatine tonsils are seen easily in clinical examination so radiographs are not suggested for them.
Palatine tonsil is seen as soft tissue prominence or mass posterior - inferior to soft palate.
The other radiograph of 5 yrs old girl shows mild enlarged adenoids ( 14 mm ). No shadow of palatine tonsil is seen in this case.