Lingual abscess

Case contributed by Andrea Molinari
Diagnosis almost certain

Presentation

Glossodynia and tongue edema. Heavy smoker

Patient Data

Age: 50 years
Gender: Male
ct

Plurilobular collection (30 x 25 x 40 mm LL x AP x CC) with homogeneous fluid content and thickened, hyperemic walls located in the midline at the body of the tongue, displacing the genioglossus muscle: finding consistent with abscess.

Right maxillary sinus chronic inflammation.

Normal sublingual and submandibular space.

No significant latero-cervical enlarged lymph nodes.

Normal pharynx and larynx.

Case Discussion

This case shows the typical symptoms and CT findings of a lingual abscess.

The patient underwent intravenous antibiotic therapy and surgical drainage.

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