Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
135 Doctors are Online

What does pharyngeal tonsils mean?

User rating for this question
Very Good
Answered by

Internal Medicine Specialist
Practicing since : 1998
Answered : 1579 Questions
My son is 7 years old. He had an MRI done today because he has an syrinx on his spinal cord. It measures 2 mm and has not changed in size from last years MRI finding.
Also on the report was mention of " incidental note is made of prominence of the pharyngeal tonsils. Numerous small subcentimeter cervical lymph nodes are present bilaterally. These are most likely reactive. Clinical correlation is recommended." What does this mean? What is wrong with the tonsils? Thanks
Posted Wed, 18 Apr 2012 in Ear, Nose and Throat Problems
Answered by Dr. Jasvinder Singh 1 hour later

Thanks for posting your query.

Although both these are incidental findings on the MRI which were caught by chance by the radiologist but it needs evaluation.

Pharyngeal tonsils are also called adenoids and if they have come prominent on MRI, it means that they are enlarged or inflammed. Inflammation of the adenoids (pharyngeal tonsils) may also obstruct the nasopharynx region and lead to inflammation and infection of the Eustachian tubes or middle ear.

When infections are severe or chronic, the adenoids are usually surgically removed (adenoidectomy).

Regarding the presence of cervical lymph nodes, it is usually caused by a viral or bacterial infection. Other causes include allergic reactions or some malignancy.

In case the adenoids are inflamed then it can also cause swollen lymph nodes but if they are reactive then it needs evaluation. Sometimes the nodes don’t shrink back to their normal size and stay enlarged. They are then called reactive lymph nodes.

Your son needs to get an ENT examination done and a physical examination which includes assessment of the neck circumference (area around the neck) and visualization of the throat, nasal, and oral cavities and a FNAC (fine needle aspiration cytology) of the lymph nodes done.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures

The user accepted the expert's answer

Ask an ENT Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor