A 56-year-old presented to the ED with a 5-hour history of throat swelling, pain and difficulty in breathing. He had not had any trauma. His medical history included prostate cancer, hypertension, hyperlipidemia, deep vein thrombosis, and stroke. The medication history included warfarin, anti-hypertensive agents, and statin. Examination He was afebrile Physical examination was notable for minor swelling of the posterior oropharynx.
Laboratory studies indicated normal WBC count, a prothrombin time of > 120 seconds, an activated partial thromboplastin time of 127 seconds. Radiography of the neck marked soft tissue swelling which was causing mass effect on the airway (1st image). CT scans were also obtained (sagittal and axial view respectively). Transnasal laryngoscopy revealed a bulging posterior pharynx but a patent airway What can be inferred from CT and radiographic images? *This case…
