Figure 28-1.
(A) Lateral neck radiograph of an 18-month-old toddler with retropharyngeal abscess due to Staphylococcus aureus infection. Note marked retropharyngeal soft-tissue density (arrow) with anterior displacement of the hypopharynx and the laryngotracheal airway. Note the normal appearance of the epiglottis, glottis, and subglottic airway. (B) Chest radiograph. Note extension of the infection into the mediastinum (arrow). (C) Computed tomography scan without contrast of the upper cervical region. Note abscess in the retropharyngeal space (arrow) with anterior displacement and compression of the airway and lateral displacement of the great vessels. Bony structures are the mandible (top), hyoid bone, and the cervical vertebrae.