There is an irregular, lobulated, right-sided, peritonsillar abscess, measuring 21.1 x 11.0 mm (AP x width). There is mild ring enhancement and a low-density appearance consistent with pyogenic sepsis. There is an inferior extension with an inferomedial component measuring 19.0 x 10.2 mm (AP x width) and consequent asymmetric attenuation of the right pyriform fossa. There is an associated retropharyngeal effusion. CT significant and insignificant reactive, bilateral level 1A, 1B, 2A, and 2B lymph nodes. There are no necrotic nodes and no nodal abscesses.
There are incidental mental spines.