Noisy breathing. Left neck mass increasing in size over days. Fever.
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There is a large left side neck mass with features of an retropharyngeal abscess with lateral extension intro the left parapharyngeal space and behind the carotid space displacing the carotid vessels anterolaterally.
There central T2 hyperintensity (heterogeneous and not as bright as CSF), central low T1, an enhancing peripheral margin and diffusion restriction.
The trachea and oesophagus are displaced by the mass.