been taking for some time for hypertension. Her fevers were actually due to a ventilator associated pneumonia (she also had trouble handling her secretions and may have aspirated prior, or during, intubation). The significant findings on CT were: extensive opacification of the paranasal sinuses and the ethmoids. Endotracheal tube and a nasogastric tube in situ. Complete loss of the airway from the post-nasal nasal space caudally to the level of the thyroid.  Diffuse oedema in the soft tissues which envelop the two tubes. Here are some more images demonstrating the findings -- note the complete lack of air around the ETT above the thyroid: Click image to enlarge Click to enlarge Click image to enlarge And finally if you're not sure what a patient with severe angioedema looks like, here's a pic from GMEP : Trackbacks [...] am of course delighted with my receipt of the accolade of a F.UCEM Diploma from the Utopian College of Emergency for Medicine via LITFL.com although this is tinged with disappointment as their promise to invoke [...] [...] am of course delighted with my receipt of the accolade of a F.UCEM Diploma from the Utopian College of Emergency for Medicine via LITFL.com although this is tinged with disappointment as their promise to invoke [...]