During inspection, what would a nurse expect to observe about a patient's tonsils if they are graded as 3+?

The Brodsky scale quantifies palatine tonsil hypertrophy to assess airway patency and obstructive risk. Grading relies on the horizontal distance the lymphoid tissue extends from the tonsillar pillars toward the midline. Severe pharyngeal narrowing occurs when hypertrophy reaches the medial structures, specifically the uvula or the contralateral tonsil. A. Tonsils are (barely) visible.: This description corresponds to a Grade 1+ classification where the lymphoid tissue occupies less than 25% of the oropharyngeal space. It is a common finding in healthy adults without active inflammation or chronic hypertrophy. This grade indicates minimal protrusion beyond the anterior pillars. B. Tonsils are halfway between the tonsillar pillars and uvula.: This clinical observation defines Grade 2+ tonsils, occupying between 25% and 50% of the lateral-to-medial distance. While more prominent, they do not yet impinge significantly on the central airway. This stage is frequently seen in pediatric populations or during mild pharyngitis. C. Tonsils are touching each other.: This extreme finding is classified as Grade 4+, often referred to as kissing tonsils. It represents total or near-total oropharyngeal obstruction, significantly increasing the risk of obstructive sleep apnea or respiratory distress. This stage exceeds the requirements for a 3+ grading. D. Tonsils are touching the uvula.: Grade 3+ is characterized by tonsils occupying 50% to 75% of the oropharynx, extending far enough to contact the uvula. This degree of hypertrophy can interfere with swallowing and vocal resonance. It is a specific anatomical landmark used to define this high-grade obstruction.