Interactive Radiology Case Reports :: Wisdom Tooth`s Revenge: Retropharyngeal Abscess and Mediastinitis after Molar Tooth Extraction

Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses.
Modality: Fluoroscopic imaging of the neck during ingestion of oral water soluble contrast

View: Lateral

Findings: There is passage of contrast into the retropharyngeal space through a fistula at the posterior oropharyngeal wall.

Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses.
Modality: Contrast enhanced CT of the neck at the time of the patient`s presentation to the emergency room

Plane: Sagittal

Findings: Multiple, rim-enhancing, interconnected fluid collections within the deep spaces of the neck, more coalescent in appareance compared to the CT from two weeks before.

Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses.
Modality: Contrast enhanced CT of the neck at the time of the patient`s presentation to the emergency room

Plane: Coronal

Findings: Multiple, rim-enhancing, interconnected fluid collections within the deep spaces of the neck, more coalescent in appareance compared to the CT from two weeks before.

Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses.
Modality: Contrast enhanced CT of the neck at the time of the patient`s presentation to the emergency room

Plane: Axial

Findings: Multiple, rim-enhancing, interconnected fluid collections within the deep spaces of the neck, more coalescent in appareance compared to the CT from two weeks before.

Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses.
Modality: Contrast enhanced CT of the neck 2 weeks before the patient`s presentation to the emergency room

Plane: Sagittal

Findings: Multiple, rim-enhancing, interconnected fluid collections within the deep spaces of the neck, including mucosal pharyngeal, retropharyngeal/danger, prevertebral, and bilateral carotid spaces

Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses.
Modality: Contrast enhanced CT of the neck 2 weeks before the patient`s presentation to the emergency room

Plane: Coronal

Findings: Multiple, rim-enhancing, interconnected fluid collections within the deep spaces of the neck, including mucosal pharyngeal, retropharyngeal/danger, prevertebral, and bilateral carotid spaces

Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses.
Modality: Contrast enhanced CT of the neck 2 weeks before the patient`s presentation to the emergency room

Plane: Axial

Findings: Multiple, rim-enhancing, interconnected fluid collections within the deep spaces of the neck, including mucosal pharyngeal, retropharyngeal/danger, prevertebral, and bilateral carotid spaces

Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses.
Modality:Contrast enhanced chest CT performed at the time of the patient`s presentation to the emergency room.

Plane: Coronal

Significant findings: Multiloculated, rim enhancing fluid collections within the mediastinum and left pleural cavity, consistent with mediastinal abscesses and empyema.

Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses.
Modality:Contrast enhanced chest CT performed at the time of the patient`s presentation to the emergency room.

Plane: Sagittal

Significant findings: Multiloculated, rim enhancing fluid collections within the mediastinum and left pleural cavity, consistent with mediastinal abscesses and empyema.

Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses.
Modality:Contrast enhanced chest CT performed at the time of the patient`s presentation to the emergency room.

Plane: Axial

Significant findings: Multiloculated, rim enhancing fluid collections within the mediastinum and left pleural cavity, consistent with mediastinal abscesses and empyema.


Series 1 Series 2 Series 3 Series 4 Series 5 Series 6 Series 7 Series 8 Series 9 Series 10 Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses. Modality: Fluoroscopic imaging of the neck during ingestion of oral water soluble contrast View: Lateral Findings: There is passage of contrast into the retropharyngeal space through a fistula at the posterior oropharyngeal wall. Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses. Modality: Contrast enhanced CT of the neck at the time of the patient`s presentation to the emergency room Plane: Sagittal Findings: Multiple, rim-enhancing, interconnected fluid collections within the deep spaces of the neck, more coalescent in appareance compared to the CT from two weeks before. Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses. Modality: Contrast enhanced CT of the neck at the time of the patient`s presentation to the emergency room Plane: Coronal Findings: Multiple, rim-enhancing, interconnected fluid collections within the deep spaces of the neck, more coalescent in appareance compared to the CT from two weeks before. Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses. Modality: Contrast enhanced CT of the neck at the time of the patient`s presentation to the emergency room Plane: Axial Findings: Multiple, rim-enhancing, interconnected fluid collections within the deep spaces of the neck, more coalescent in appareance compared to the CT from two weeks before. Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses. Modality: Contrast enhanced CT of the neck 2 weeks before the patient`s presentation to the emergency room Plane: Sagittal Findings: Multiple, rim-enhancing, interconnected fluid collections within the deep spaces of the neck, including mucosal pharyngeal, retropharyngeal/danger, prevertebral, and bilateral carotid spaces Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses. Modality: Contrast enhanced CT of the neck 2 weeks before the patient`s presentation to the emergency room Plane: Coronal Findings: Multiple, rim-enhancing, interconnected fluid collections within the deep spaces of the neck, including mucosal pharyngeal, retropharyngeal/danger, prevertebral, and bilateral carotid spaces Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses. Modality: Contrast enhanced CT of the neck 2 weeks before the patient`s presentation to the emergency room Plane: Axial Findings: Multiple, rim-enhancing, interconnected fluid collections within the deep spaces of the neck, including mucosal pharyngeal, retropharyngeal/danger, prevertebral, and bilateral carotid spaces Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses. Modality:Contrast enhanced chest CT performed at the time of the patient`s presentation to the emergency room. Plane: Coronal Significant findings: Multiloculated, rim enhancing fluid collections within the mediastinum and left pleural cavity, consistent with mediastinal abscesses and empyema. Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses. Modality:Contrast enhanced chest CT performed at the time of the patient`s presentation to the emergency room. Plane: Sagittal Significant findings: Multiloculated, rim enhancing fluid collections within the mediastinum and left pleural cavity, consistent with mediastinal abscesses and empyema. Click 24 year old female with mediastinitis and empyema secondary to deep neck space abscesses. Modality:Contrast enhanced chest CT performed at the time of the patient`s presentation to the emergency room. Plane: Axial Significant findings: Multiloculated, rim enhancing fluid collections within the mediastinum and left pleural cavity, consistent with mediastinal abscesses and empyema.