Legend Axial contrast CT scans through the nasopharynx (left) and oropharynx (right) reveal marked enlargement of the adenoids and tonsils. The parapharyngeal spaces are symmetric and normal.

Legend Additional CT images demonstrate diffuse enlargement of Waldeyer’s ring, causing mass effect on the oropharynx. The jugulo-digastric nodes are enlarged without central necrosis. Multiple normal-sized lymph nodes are seen throughout the cervical chains bilaterally. Key words: ct oropharynx oral cavity inflammation infection tonsil

ENT Diagnosis: Streptococcal tonsillitis