Chronic invasive fungal sinusitis
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Chronic invasive fungal sinusitis (CIFS) is a form of invasive fungal sinusitis.
Clinical presentation
The condition has a more prolonged course. Patients are usually immunocompetent or have a milder level of immunocompromise. There may be a frequent history of chronic sinusitis.
Radiographic features
CT
CT usually shows homogeneous opacification of sinus affected compartments (iso- to hyperattenuating to muscle tissue) of the affected sinus(es).
Other suggestive features include:
- relative lack of expansion of sinuses 2
- mottled lucencies or irregular bone destruction may be seen
- bone erosion being localised to the area of extra-sinus extension 2
- extra-sinus component of the disease being more than the intra-sinus component 2
- there may also be sclerotic changes in the bony walls of the affected sinuses representing chronicity of disease 3
MRI
Signal characterics of affected region include:
- T1: iso- or hypointense signal
- T2: usually markedly hypointense signal
See also
-<p><strong>Chronic invasive fungal sinusitis (CIFS) </strong>is a form of invasive <a href="/articles/fungal-sinusitis">fungal sinusitis</a>. </p><h4>Clinical presentation</h4><p>The condition has a more prolonged course. Patients are usually immunocompetent or have a milder level of immunocompromise. There may be a frequent history of chronic sinusitis.</p><h4>Radiographic features</h4><h5>CT</h5><p>CT usually shows homogeneous opacification of sinus affected compartments (iso- to hyperattenuating to muscle tissue).</p><p>Other suggestive features include:</p><ul>- +<p><strong>Chronic invasive fungal sinusitis (CIFS) </strong>is a form of invasive <a href="/articles/fungal-sinusitis">fungal sinusitis</a>. </p><h4>Clinical presentation</h4><p>The condition has a more prolonged course. Patients are usually immunocompetent or have a milder level of immunocompromise. There may be a frequent history of chronic sinusitis.</p><h4>Radiographic features</h4><h5>CT</h5><p>CT usually shows homogeneous opacification (iso- to hyperattenuating to muscle tissue) of the affected sinus(es).</p><p>Other suggestive features include:</p><ul>
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