Evidence of diffuse soft tissue edema or thickening with diffuse loss of fat plans (cellulitis) was noted at the upper neck, namely (the floor of the mouth, both submandibular, sublingual, and submental spaces), with lesser extension to the lower neck. Emphysematous changes are noted in both submandibular regions and mostly involve submandibular glands with diffuse fatty stranding, suggesting emphysematous inflammatory changes.
Multiple enlarged cervical lymph nodes are noted, the largest in both upper cervical groups.
Bilateral mandibular caries and evidence of tooth extraction were noted.
IMPRESSION:
The CT finding demonstrates diffuse soft tissue emphysematous inflammatory changes, suggesting Ludwig angina for clinical correlation.