Supraglottic retropharyngeal abscess
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Sore throat associated with left neck mass
Soft tissue neck
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CT neck shows a retropharyngeal rim enhancing collection extending from oropharynx to the level of glottis with no infraglottic extent. There is extensive inflammatory flat stranding involving bilateral carotid spaces as well as left anterior and posterior triangles of neck up to supraclavicular region.
There is multiple enlarged left sided cervical chain lymph nodes. The right internal jugular vein is effaced mostly at level C1/2.
Retropharyngeal abscess can extend all the way to the superior mediastinum. It thought to form as a complication from tonsillitis, pharyngitis or other head and neck infection.