ANAMNESIS / SYMPTOMS:
A 33 year old patient complains about a big and very tender tumescence in the left cervical region that occured 2 weeks before. Further he reports about nightly shivering-fits. Although the patient receives oral antibiosis there is no improvement of the symptoms.


FINDINGS:
On the sonogramm is on a transverse plane a hypoechoic, partly inhomogenous area with hardly definable borders visible. The surrounding tissue is inhomogenous echoic as well, not clearly distinguishable from the tumour and softened in its strucure. When compressed with the transducer there is movement between the separate parts of the hypoechoic structure recognizable. Some vessels, the submandibular gland and the sternocleidomastoid muscle are visualized.


DIAGNOSIS:
Abscess of the neck with beginning phlegmon on the right side