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CT show increased volume in both palatine tonsils, in the right tonsil is observed a collection, with hypodense center and enhanced walls with use of intravenous contrast . Faint inflammatory changes in adipose tissue of the right parapharyngeal space. Reactive lymph nodes were identified in both anterior cervical chains , especially in the bilateral group II. The air and food passages have normal caliber. Larynx without tomographic alterations. Retropharyngeal, submandibular and masticatory spaces without tomographic alterations. Tongue and mouth floor of normal tomographic features. Parotid and submandibular glands were normal.