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XRAY Subglottic Hematoma

Findings: Frontal and lateral soft tissue radiographs of the neck were acquired, demonstrating a segment of abnormal subglottic airway narrowing and thickening with anterior and leftward displacement of the airway. On the lateral projection just inferior to the piriform sinuses, there is a oval mass that measures 5.6 x 2.7 cm which corresponds to the area of subglottic narrowing on the frontal projection. The cervical spine demonstrates mild loss of the normal lordotic curvature without fracture or subluxation.

Impression: Abnormal subglottic narrowing, likely attributable to submucosal hematoma secondary to recent intubation. Differential includes infectious processes. Recommend urgent ENT consultation to ensure airway patency.