Markedly enlarged epiglottis with peripheral enhancement, partially obstructing the airway. There is inflammation and swelling of the aryepiglottic folds, obliteration of bilateral piriform sinuses (best seen on coronal images), and mild swelling of the vocal cords. The valleculae are completely obliterated due to severe swelling of the epiglottis.
Multiple lymph nodes of variable size are present, most prominent in level II bilaterally.