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PARS Radiology Quiz - Dec,2013


Dec 12, 2013
Unilateral maxillary sinusitis CT PNS Unilateral maxillary sinusitis CT PNS

A 16-year-old male patient, presented to the ENT clinic with bilateral nasal obstruction and diminution of vision for 4 months with gradual onset and progressive course. The condition is associated with headache but there is no history of projectile vomiting. Visual acuity has worsened over this period from bilateral counting fingers to bilateral no perception of light. There’s no history of epistaxis. Examination revealed reddish mass in the left nasal cavity. There are no other masses or lymphadenopathy. CT and MRI are shown below.

Answer: Chronic invasive fungal sinusitis.

 

Presented by Dr.Ahmad M. Eltelety

Chief resident of ORL, Alkasr Alainy 

School of medicine- Cairo university 

Comments:


could lymphoma occur in the nose without any lymphadenpathy else where
By doaa on Mar 16,2014
History and mass description point at lymphoma but histology might reveal surprises sometimes...
By aziz ibrahim on Dec 14,2013
lymphoma
By sami tanbouzi husseini on Dec 12,2013

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