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    Your diagnosis?

    Test your radiological knowledge and diagnose this case!

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      History:
      A 6 year old girl presented to casualty with a 4 day history of sore throat and dysphagia. Examination was unremarkable and initial management for tonsillitis was commenced. Within 24 hours, she dramatically worsened and was admitted to paediatric ICU with respiratory distress and progressive neck swelling.

      Radiological findings:

      IMAGING confirmed :: View IMAGING confirmed in Toolbox ::
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      Imaging confirmed a very large multiloculated retropharyngeal cystic mass measuring 13.5cm in length, 3.7cm AP and 7cm width. The lesion extended from the clivus to the aortic arch, displacing the trachea anteriorly.


      X-Ray 1 :: View X-Ray 1 in Toolbox ::
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      X-Ray 1:
      Lateral neck X ray showing a massive retropharyngeal mass pushing the trachea anteriorly.




      CT 1 :: View CT 1 in Toolbox ::
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      CT 1:
      Sagittal CT image of the retropharyngeal swelling demonstrating the loculated nature of the cyst.




      CT 2 :: View CT 2 in Toolbox ::
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      CT 2:
      Coronal CT demonstrating a retropharyngeal cystic lesion.




      CT 3 :: View CT 3 in Toolbox ::
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      CT 3:
      Axial CT demonstrating a retropharyngeal cystic lesion.




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