Brief Answer:
Inflamed tonsil or tonsillar cyst...

Detailed Answer:
Hi

Thanks for posting the query

I have gone through the history and examined the photo thoroughly. I am of the opinion that the swelling could be either an inflamed tonsil or a tonsillar cyst.

1. Tonsil has got multiple crypts and when the crypts widen, the tonsillar tissue appears as if there are multiple lobes in it.

2. Secondly, it can be a tonsillar cyst with accumulated keratin in it.

As there is congestion along with edema all over the pharynx and tonsillar pillars, the small tissue of tonsil appears to be an isolated swelling.

In either of the cases, there is no serious issues associated with.

My suggestion to you is to drink plenty of warm water; avoid chilled food and beverages and smoking, if any.

Hope I have answered your query; I'll be available for the follow up queries.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

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Brief Answer:
Small cysts are harmless & may disappear gradually

Detailed Answer:
Hi

Thanks for writing back

To explain to you in detail, I can see the congested and edematous uvula and the anterior pillar of the tonsils. On the left hand side, I can see a globular swelling behind the anterior tonsillar pillar. Exactly behind the globular swelling lies an another small, erythematous swelling, size of a small pea. I believe it's a tonsillar tissue, (arrow head pointing on it) because, it is well within the tonsillar pillars. This can be confirmed by the XXXXXXX formed by the tonsillar pillars right above the swelling. Lower to it, I can still see the crypt of the tonsil.

Behind the small mass is the congested and edematous folds of the mucosal membrane overlying the pharyngeal wall. Similar folds can be noticed on the opposite side too.

On the right hand side, the tonsil is obscured by the anterior tonsillar pillar.

Smaller cysts may persist or disappear once the inflammation subsides. Do not worry! Tiny tonsillar cysts are harmless swelling, I am confident that it is nothing more than a tonsillar tissue, with a deeper crypt, but, a tiny cyst cannot be ruled out.

Hope this clarifies your doubts.

Wish you good health.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

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Brief Answer:
Harmless granulation tissue over the posterior tonsillar pillar

Detailed Answer:
Hi

Welcome back and thanks for posting the old photograph.

After going through the new image, I would like to change my opinion. It is a granulation tissue present over the posterior tonsillar pillar and the adjoining pharyngeal wall. In the first image, the granulation was pushed to the front by the contracted pharyngeal mucosal folds, giving an appearance of inflamed tonsillar tissue with a deep crypt.

In the 2 weeks old image, the granulation tissue was present without much inflammation. And, in the recent image because of cold, there is gross inflammation of the entire pharynx, making this granulation appear more prominent.

Do not worry! This will definitely clear off within a couple of months with anti-inflammatory medicines and the povidone iodine mouth gargles or spray. You can definitely consult your doctor, if there is no change in the size even after two weeks.

Drink plenty of warm water. Warm water will hasten the process of healing.

Wish you good health.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

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