Rim-enhancing low attenuating collection with epicenter at the left tonsillar region. It has extension into the retropharyngeal space/danger space. Superiorly, it extends to the level of nasopharynx. Anteriorly, the left visceral space is involved with intramuscular abscess noted within the left strap muscles. Significant occlusion of the oropharynx, hypopharynx and supraglottis indicates airway compromise.
Fat streakiness within the left parapharyngeal space. Carotid arteries and internal jugular veins in both carotid spaces are patent. No cervical bony or thyroid cartilage erosion.
Evidence of tracheostomy.
Thick walled cavitating lung lesion at the apicoposterior segment of left upper lobe.