Bilateral neck swelling in the setting of alcohol abuse.
Post contrast neck CT
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There is extensive fat deposition in the deep spaces of the neck with extensive adipose tissue seen in the parapharyngeal, retropharyngeal, parotid and perivertebral spaces. Both parotids are displaced anteriorly by the non-encapsulated fatty masses. No intraparotid lesion is seen. No cervical lymphadenopathy. Within the limits of CT, no significant epidural lipomatosis seen.
Bilateral loculated pleural effuions are noted posteriorly in the upper lobes.