Staph. aureus sepsis and bacteraemia. Pain on swallowing.
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Retropharyngeal/prevertebral gas-fluid collection measuring 1.6 x 1.5 cm along a length of 7 cm from C5 to T2. It lies to the left of the oesophagus, mildly compressing it and displacing it to the right. The known C5-6 discitis is better seen on MRI (not included here - suboptimal image quality).
Borderline prominent right paratracheal lymph nodes.
Acknowledgement: Dr Elaine Lui.
The cause in this case was associated with C5/6 discitis/epidural abscess and the patient went on to have an drainage and ACDF performed by the neurosurgeons.