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Answers to Illumninations from page 93
  1. H Williams
  1. Correspondence to Helen Williams, Radiology Department, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK; helen.williams{at}bch.nhs.uk

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Answers to Question 1

The answer is G, enlarged tonsils and adenoids. The radiograph was requested by an ear, nose and throat surgeon to look specifically at the nasopharyngeal airway or postnasal space. Adenoidal size can be difficult to assess clinically, and radiographs can be useful, particularly if surgery is being considered. The adenoids consist of lymphoid tissue and usually reach their maximum size between the ages of 3 and 5 years. Swollen adenoids can significantly narrow the nasopharyngeal airway causing nasal obstruction and …

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