PMC3728529_01
(a) Sagittal CT neck with IV contrast shows a prevertebral fluid collection (arrows). (b) Axial CT neck with calcifications of the longus coli tendon (arrow).
CRIM.OTOLARYNGOLOGY2013-818561.001.jpg
PMC3728529_01_CRIM.OTOLARYNGOLOGY2013-818561.001.jpg
fig1
This lesion measured 8.2 cm in length with a cross-sectional diameter of 3.0 x 1.3 cm (Figure 1).
Sagittal T2-weighted MRI of the neck shows bright signal representing a prevertebral fluid collection.
CRIM.OTOLARYNGOLOGY2013-818561.002.jpg
PMC3728529_01_CRIM.OTOLARYNGOLOGY2013-818561.002.jpg
fig2
The MRI was consistent with a retropharyngeal abscess from level C1 to C5 (Figure 2).
Axial CT of the neck with IV contrast on hospital day #4. Calcifications of the longus coli tendon are apparent (arrows).
CRIM.OTOLARYNGOLOGY2013-818561.003.jpg
PMC3728529_01_CRIM.OTOLARYNGOLOGY2013-818561.003.jpg
fig3
Inflammatory changes of the tonsils, adenoids, and cervical lymph nodes were identified (Figure 3).
PMC3728529_02
Axial CT of the neck with IV contrast shows calcifications anterior to the body of C2 (arrow).
CRIM.OTOLARYNGOLOGY2013-818561.004.jpg
PMC3728529_02_CRIM.OTOLARYNGOLOGY2013-818561.004.jpg
fig4
C2 which was within the soft tissue thickening at the level of the oropharynx (Figure 4). Considering the CT findings and her clinical picture, the diagnosis of acute calcific tendonitis of the longus coli muscle was favored.