What is the most likely diagnosis in this 65-year-old woman with a 7-day history of throat pain and difficulty swallowing? Epiglottitis Foreign body aspiration Peritonsillar abscess Retropharyngeal abscess Thyroid nodule
The lateral soft-tissue radiograph reveals the “thumb sign” that indicates a swollen epiglottis, suggestive of epiglottitis. The diagnosis was confirmed on subsequent imaging and laryngoscopy. The patient recovered following treatment with dexamethasone and ceftriaxone.