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Infective phlegmon within posterior cervical space

Case contributed by Dr Steve Lau

Presentation

Right sided posterior triangle neck swelling.

Patient Data

Age: 67
Gender: Male

CT neck show inflammatory fat stranding in right posterior cervical space between sternocleidomastoid and paravertebral musculature. The right sternocleidomastoid belly is enlarged with loss of fat plane between paraspinal muscles. There is also thickening of overlying skin.

There are multiple enlarged level 3 and level 5 nodes. 

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