with no history of immunocompromise presenting with worsening of sore throat with exam consistent with possible early RPA. No trismus, euvolemic, no airway compromise. Able to tolerate PO. Unlikely PTA, ludwigs, epiglottitis. C/f RPA, tonsillitis. Plan to CT neck w contrast and treat pain. Discussed plan of care with patient and given size, mutual decision making to trial antibiotics and symptomatic support in interim vs draining after R/B/A discussed in detail. Patient understands risk of requiring subsequent drainage if symptoms don’t improve and is aware of strict return precautions.