The right tonsil appears to be asymmetrically enlarged with striated enhancement pattern (tiger-stripe appearance). Diffuse abnormal enhancement area is also noted at the tongue base and right lateral oro-pharyngeal wall with irregular surface representing enhancement at part of Waldeyer ring. No abnormal enhancing collection noted to suggest peritonsillar abscess. Slight increased of fat streakiness in right parapharyngeal space. No retropharyngeal or danger space collection.
Enlarged enhancing lymph nodes seen at the bilateral cervical level II regions, the largest on the right level II measures 1.7cm in short axis diameter (SAD) and on the left side measures 1.2cm in SAD. Subcentimeter lymph nodes in other cervical levels.
Epiglottis is not thickened or swollen. Airway are not significantly narrowed.
Vessels in both carotid spaces are well opacified.
Both fossa of Rossenmueller are normal.