Preschooler with fever and drooling

Radiograph of epiglottitis
Lateral radiograph of the airway (left) shows swelling of the epiglottis (thumb sign) and areyepiglottic folds. Followup lateral radiograph of the airway after a week of antibiotic therapy (right) shows a near normal appearance of the epiglottis and areyepiglottic folds.

The diagnosis was epiglottitis.