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Case of the Week 624 
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
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
- Although present at birth, they are usually invisible until 3-6 months
MORE . . .
.
This Week
11 year-old with recurrent otitis media |
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