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Submitted by Max Pollock, MD. and Marcel Maya, MD.
History: 46 year old female with 2 days of acute onset neck pain presents to the emergency department after an MRI at an outside facility showed what appeared to represent a retropharyngeal abscess. She was sent to the ED by her physician who was suspicious of the diagnosis as there were no objective signs of infection.
A CT scan of the neck with intravenous contrast was ordered for further evaluation.
What is the Salient Finding?
- Cervical fracture and edema.
- Epidural collection causing cord compression.
- Gas in the retropharyngeal space with enhancing fluid collection.
- Edema of the longuscolli musculature with associated retropharnyngeal fluid and pre-odontoid calcification
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