Stridor with upper airway swelling.
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- Airway narrowing due to symmetrical tonsillar enlargement.
- Extensive lymphadenopathy
- Normal epiglottis.
- Small nodes in the parotid glands. Submandibular glands are unremarkable.
- Small thyroid gland.
- No bony lesions.
Case submitted by Dr Smita Deb and A/Prof Pramit Phal.
This patient was previously diagnosed with CLL in spleen and hilar lymph nodes and the tonsillar enlargement is thus thought to be secondary involvement by lymphoma.