Bilateral tonsillitis

Case contributed by Bálint Botz
Diagnosis almost certain


Fever, sore throat for a week, worsening swallowing difficulty despite ongoing antibiotic treatment.

Patient Data

Age: 35 years
Gender: Male

Grossly enlarged bilateral palatine tonsils with subtle hypodensity within the right one (see the venous phase key image), raising the possibility of abscess formation. Marked diffuse pharyngeal mucosal edema, bilaterally. Numerous reactive lymph nodes. Incidental megacisterna magna. 

Case Discussion

Findings are in line with pronounced bilateral tonsillitis, subsequent workup also confirmed infectious mononucleosis. Conservative inpatient treatment resulted in rapid and uneventful recovery. 

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