EURORAD ESR

Case 3201

Traumatic retropharyngeal and prevetrebral hematoma

Author(s)
Athanassopoulou A, Anagnostara A, Kailidou E, Markatos A, Efstathidis A
 
Patient
male, 58 year(s)
 
 
  • Figure 1
    A CT image

    An unenhanced CT scan of the neck through the level of the oropharynx, showing a well-defined, low-attenuating, midline collection between the posterior pharyngeal wall and the prevertebral musculature, consistent...

     
     
     
  • Figure 2
    A CT image

    An unenhanced CT scan of the neck through the level of the larynx, showing the hyperattenuating prevertebral hematoma displacing the larynx anteriorly (indicated by an arrow).

     
     
     
  • Figure 3
    A CT image

    An unenhanced CT scan of the neck through the level of the cricoid arch. A prevertebral hematoma is seen (indicated by an arrow).

     
     
     
  • Figure 4
    An MRI image

    A T1-weighted coronal MR image obtained at the four-day follow-up, at the level of the nasopharynx, showing the reestablishment of the airway pattency after partial resorption of the prevertebral hematoma. Residual...

     
     
     
  • Figure 5
    An MRI image

    A T1 midsagittal weighted MR image, obtained at a four-day follow-up, showing reestablishment of the airway pattency after partial resorption of the prevertebral hematoma (indicated by double arrows). Residual T1...

     
     
     
  • Figure 6
    An MRI image

    A T1 axial weighted MR image at the level of the larynx, obtained at a four-day follow-up, showing prevertebral hematoma (indicated by an arrow).

     
     
     
  • Figure 7
    An MRI image

    A T2 axial weighted MR image at the level of the larynx, obtained at a four-day follow-up, showing prevertebral hematoma (indicated by an arrow).

     
     
     
  • Figure 8
    An MRI image

    A T1 axial FAT-SAT MR image at the level of tongue base, obtained at a four-day follow-up, showing reestablishment of the airway pattency. Residual retropharyngeal(indicated by an arrow) and prevertebral hematoma....

     
     
     
An unenhanced CT scan of the neck through the level of the oropharynx, showing a well-defined, low-attenuating, midline collection between the posterior pharyngeal wall and the prevertebral musculature, consistent with a retropharyngeal hematoma(indicated by an arrow) and hyperattenuating swelled prevertebral musculature attributed to a prevertebral hematoma (indicated by double arrows). Significant compression of the upper airway is noted.
 
An unenhanced CT scan of the neck through the level of the larynx, showing the hyperattenuating prevertebral hematoma displacing the larynx anteriorly (indicated by an arrow).
 
An unenhanced CT scan of the neck through the level of the cricoid arch. A prevertebral hematoma is seen (indicated by an arrow).
 
A T1-weighted coronal MR image obtained at the four-day follow-up, at the level of the nasopharynx, showing the reestablishment of the airway pattency after partial resorption of the prevertebral hematoma. Residual T1 hypointense retropharyngeal collection is seen (indicated by an arrow).
 
A T1 midsagittal weighted MR image, obtained at a four-day follow-up, showing reestablishment of the airway pattency after partial resorption of the prevertebral hematoma (indicated by double arrows). Residual T1 hypointense retropharyngeal collection (indicated by an arrow).
 
A T1 axial weighted MR image at the level of the larynx, obtained at a four-day follow-up, showing prevertebral hematoma (indicated by an arrow).
 
A T2 axial weighted MR image at the level of the larynx, obtained at a four-day follow-up, showing prevertebral hematoma (indicated by an arrow).
 
A T1 axial FAT-SAT MR image at the level of tongue base, obtained at a four-day follow-up, showing reestablishment of the airway pattency. Residual retropharyngeal(indicated by an arrow) and prevertebral hematoma. Minimal residual retropharyngeal (indicated by double arrows) collections is seen.
 
 
 
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