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Increased length of the soft palate/obstructive sleep apnea

Findings:

The soft palate is relatively long, measuring approximately 2.2 cm on the sagittal images with occlusion of the posterior airway space. The uvula overlays the posterior wall of the nasopharynx.
The tonsils and adenoids are normal.
The tongue and the floor of the mouth have a normal appearance. The retromolar trigone is unremarkable.
The pharyngeal and glottic regions are normal. The parapharyngeal fat space is normal.
The parotid, submandibular and thyroid glands are normal.
There is no significant lymphadenopathy.
The cervical vessels are patent without evidence of stenosis or thrombosis. The imaged intracranial circulation is unremarkable.
The pulmonary apices are clear.
No bony abnormality is seen. The craniocervical junction and spinal canal appear patent.

Conclusion:
Increased length of the soft palate with complete occlusion of the posterior air space at the nasopharynx.
No adenoid hypertrophy, no sinister pathology.

Updated on 13. June 2023

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About the author

Dr Sara Mohebbi is a Consultant Radiologist (Facharzt für Radiologie) with sub-specialty training in neuroradiology. She served as Chief Resident at University Hospital Freiburg and is a member of the European Society of Radiology (ESR). Her clinical focus includes demyelinating disease, neuro-oncology, and vascular neuroimaging. Dr Mohebbi is the Clinical Lead at Radiology Prime, where she provides independent second opinion reports on brain and spine MRI.