Nasopharyngeal carcinoma - infiltrating the clivus

Case contributed by Mohammad Niknejad
Diagnosis certain

Presentation

Bilateral otitis media.

Patient Data

Gender: Male
This study is a stack
Axial
non-contrast
This study is a stack
Axial Post
contrast
This study is a stack
Sagittal Post
contrast
This study is a stack
Coronal Post
contrast
Download
Info

A large heterogeneously-enhancing soft tissue mass measuring 74 × 52 × 38 mm is seen in nasopharynx predominantly on right side, and obliterating bilateral fossa of Rosenmuller. The mass extends anteriorly into the posterior nares and superiorly invades the clivus and floor of the sphenoid sinus. Associated sphenoid & left maxillary sinusitis, and bilateral otomastoiditis are present. Enhancing enlarged bilateral cervical and parotid lympadenopathy with maximum SAD of 21 mm. 

Case Discussion

Pathology proven case of nasopharyngeal carcinoma with involvement of the clivus and infero-posterior walls of the sphenoid sinus. Otitis media in an elderly patient should raise the suspicion of nasopharyngeal carcinoma

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.