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Maxillary sinus mycetoma in chronic fungal sinusitis

Case contributed by Charlie Chia-Tsong Hsu
Diagnosis almost certain

Presentation

CT evaluation for cognitive decline.

Patient Data

Age: 70 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

The left maxillary sinus is completely opacified with mild wall hyperostosis. It shows hyperdense content with internal coarse calcification.

The left maxillary sinus is completely filled with T1 isointense signal content, which shows heterogeneous high T2 signal and central low signal intensity.

Case Discussion

Features of left maxillary sinus mycetoma.

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