<prompt> Which among the following causes thumb sign on an X-ray lateral view of the neck?Acute epiglottitisAcute laryngo trachea bronchitisAcute tonsillitisAcute laryngitis  <response>: Thumb sign is typically seen in acute epiglottitis due to swollen epiglottis. It is better appreciated in lateral view of neck. Normally, the epiglottis is quite thin in the anteroposterior AP dimension, resembling a little finger, whereas the abnormal, inflamed epiglottis appears shoer and has an increased AP dimension, resembling a thumb. Acute epiglottitis is usually caused by infection with H influenzae type B. 