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Multiloculated 2.5 cm fluid collection with peripheral enhancement in the left submandibular space. No gas within the collection. The gland is medially and inferiorly displaced. The left submandibular gland enhances normally, with minor duct dilatation (no filling defect).
Left parapharyngeal stranding and swelling, but no collection here or in other deep spaces. No spread into the carotid canal or mediastinum. Local nodal enlargement, none reaching size significance. Normal left parotid. Tiny left thyroid nodule. The right side of the neck is normal.
No airway compromise.