Presentation
On examination - mouth breathing.
Patient Data
Age: 6 years
Gender: Male
From the case:
Adenoid and palatine tonsil (lateral neck radiograph)
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Enlarged adenoid (20 mm thick) and palatine tonsils.
Case Discussion
On radiographs, if the adenoid measures > 12 mm (AP) in the 2-10 year age group this is abnormal ref. It is seen as soft tissue indenting / obstructing the nasopharyngeal air column.
The palatine tonsils are easily seen on clinical examination so radiographs are not indicated for their assessment. The palatine tonsil is seen as a soft tissue prominence or mass posteroinferior to the soft palate.