Article Figures & Data
Figures
- FIG 1.
A 51-year-old man with a history of laryngeal SCCA, treated with total laryngectomy and myocutaneous flap reconstruction. Sagittal contrast-enhanced CT demonstrates marked prevertebral soft-tissue thickening from C4 to T1 and chronic fracture/dislocation at C6–C7. A bulky myocutaneous flap reconstructs the anterior pharyngeal wall; note how lumen tapers, terminating at C7. A tiny locule of extraluminal air is present in the prevertebral soft tissues just anterior to the T1 superior endplate (arrow).
- FIG 2.
A 67-year-old man with a history of laryngeal SCCA, status post laryngectomy and radiation, and dilation of multiple sites of neopharyngeal and esophageal stenosis presented with obstruction and severe neck pain. An axial contrast-enhanced image demonstrates a fluid-filled sinus tract from the neopharyngeal posterior wall, extending to thickened prevertebral soft tissues (arrows). MR imaging of the cervical spine revealed characteristic cervical diskitis/osteomyelitis at multiple levels (not shown).
- FIG 3.
A 74-year-old woman with a history of laryngeal carcinoma, status post total laryngectomy and radiation, and recent esophageal dilation presented with neck pain and fever. A, An axial postcontrast CT image demonstrates a sinus tract extending to the vertebral body (arrows). B, Sagittal T1 postcontrast fat-saturated MR image demonstrates thickening of the prevertebral soft tissue with a focal defect (arrow) and enhancement of the C5 and C6 vertebral bodies (arrowheads) and loss of disk height with enhancement, consistent with diskitis/osteomyelitis.
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