Retropharyngeal abscess

Case contributed by Jeremy Jones


Noisy breathing. Left neck mass increasing in size over days. Fever.

Patient Data

Age: 30 months old
Gender: Female

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 esophagus are displaced by the mass.

Case Discussion

Large retropharyngeal abscess with extension into the left parapharyngeal space behind the carotid space with displacement of the carotid vessels without compression.

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