What is the most likely diagnosis? 
              
- 11 year-old with recurrent otitis media

  
  Soft Tissue Lateral Neck Radiograph
              
                - Retropharyngeal abscess
- Infectious mononucleosis 
- Enlarged tonsils and adenoids
- Tracheal papillomatosis 
- Neurofibromatosis
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                  Answer:
               
              
                3. Enlarged tonsils and adenoids
                 
              
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              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