Thanks, it does appear to be adenoids based on clinical presentation but I believe due to her low weight they will not operate or otherwise investigate unless this xray warrants it. It does explain the ear issues though I wasn't aware they were related.
Thank you for the reply!
sorry, also adenoids if enlarged can press on the tube connected to the ears to make them feel clogged.
I couldn't actually see the adenoids on the x-ray, however, if your child is having problems with tonsils and has also been very congested in the sinus area then it is more than likely adenoids. I have been congested for 3 months now and I had to go to an ear nose and throat doctor and he ran a tube with a lens type thing on it up my nostrils to find out what was wrong. My family doctor whom I had seen twice had tried steroids, antibiotics, and allergy medicine and nothing worked. My tonsils were fine but red and sore because I had to breathe through my mouth. Adenoids are most commonly a problem in young children and they are usually removed with tonsils if the tonsils have to be removed.