| Findings: CT csan of neck with pre- and post- intravenous contrast, and
with multiplanar reconstruction: 1. Marked swelling of right parotid gland with extensive lobulated
fluid accumulation (red arrow in figure 3 and 4), compatible with
infectious process with abscess. Presence of derect extension of
the fluid into adjacent right parapharyngeal, retropharyngeal, and
paraspinal portion of right perivertebral spaces.
Besides, the lesion also extension into right posterior cheek
soft tissue and along right lateral neck into supraclavian fossa.
2. Presence of mass effect of the above lesion with compression
of larynx causing airway moderate stenosis (yellow arrow in figure
3 and 4). Please check it!
3. Swelling of left parotid gland with multiple cystic foci
and derect extension into adjacent paraspinal portion of
left perivertebral space also.
4. Peribronchial infiltration in both lungs with two nodules in
both lungs (green arrows in figure 5) and a cavity lesion in right
upper lung (blue arrow in figure 5), infectious process such as
septic emboli can not be excluded. Impression:
1. Infectious process in bilateral parotid glands, predominant over
right side, with abscess formation and airway compression.
2. Suspicious septic emboli, both lungs. |
080311 NECK ABSCESS WITH PULMONARY SEPTIC EMBOLI
