Allergic fungal sinusitis

Case contributed by Rajesh Annamalaisamy
Diagnosis almost certain

Presentation

Atopic asthma, postnasal drip, eosinophilia.

Patient Data

Age: Adult
ct

Axial and coronal unenhanced CT scans show increased attenuation in the anterior ethmoid, posterior ethmoid, sphenoid, maxillary and frontal sinuses bilaterally. There is characteristic hyperattenuating material within these sinuses. 

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