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Case of the Week 484


What is the most likely diagnosis?

  • 11 year-old with recurrent otitis media



Soft Tissue Lateral Neck Radiograph

  1. Retropharyngeal abscess
  2. Infectious mononucleosis
  3. Enlarged tonsils and adenoids
  4. Tracheal papillomatosis
  5. Neurofibromatosis

Additional Images - None

 

Additional Images

 

 

None


Answer:

 

3. Enlarged tonsils and adenoids

 

More (Click Discussion Tab)

 

 

Enlarged tonsils and adenoids

General Considerations

  • Lymphoid tissue on the posterior wall of the nasopharynx  and part of Waldeyer’s ring, which consists primarily off the adenoids, palatine tonsils and lingual tonsils
  • Natural history of the adenoids
    • Although present at birth, they are usually invisible until 3-6 months
      • Newborns do not have visible adenoids
    • They can grow until about age 6
    • They then involute through adulthood

MORE . . .

 


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.