PMC9326201_01
Computed tomography axial projection of the oropharynx shows an abscess in the right parapharyngeal space
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F1
A neck and chest computed tomography (CT) scan with intravenous contrast demonstrated an extensive abscess in the parapharyngeal and neck space on the right side with the left displacement of the larynx and trachea, but without superior mediastinum involvement [Figure 1].
Chest computed tomography on the 4th day; abscesses were located in the upper mediastinal space and in the right paraesophageal and paratracheal spaces. (a) Coronal projection; (b) Axial projection; (c) Sagittal projection
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F2
An additional CT scan [Figure 2] showed a new abscess in the anterior superior mediastinal space and initial thrombosis of the jugular vein.
Neck and chest computed tomography after thoracotomy on the 6th day; (a) Axial projection of head-and-neck with volume reduction of the right laterocervical abscess (b) coronal projection of the chest with mediastinal drainage and the volumetric reduction of the mediastinal abscess
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F3
In the following days, the patient gradually improved [Figure 3], the cervical drainage tube was removed on the 6th day and mediastinal drainage after 7 days.