A

B

C

There is a multiloculated rim enhancing fluid collection within the left submandibular space (image A), which combined with the substantial surrounding stranding is consistent with an abscess. While most of the left submandibular gland has a normal appearance, superiorly (image B) the abscess and inflammation is indistinct from the gland and potentially arising focally from the gland. There is no sialolithiasis. There is additional thickening and asymmetric enhancement in the left oropharynx and palatine tonsil (image C), likely reactive as the epicenter of the major inflammation is clearly in the submandibular space.