Presentation
Immunocompetent patient with longstanding known chronic rhinosinusitis complains of nasal obstruction.
Patient Data





Extensive sinonasal mucosal polyps.
Bilateral complete opacification and expansion of paranasal sinuses associated with bony remodelling, and involvement of ethmoid air cells and the nasal cavity. Findings are associated with centrally hyperdense inspissated material surrounded by peripheral oedematous mucosa.
Obliteration of choanae and nasopharyngeal posterior airway space.
Case Discussion
Findings in this patient with chronic sinusitis with polyposis (sinonasal polyposis) suggest concurrent allergic fungal sinusitis.