Chronic invasive fungal sinusitis
This young man was delivered to the emergency room to exclude skull fracture and intracranial haematoma. Complaints about nasal congestion. Clinical examination demonstrated exophthalmos and oedema of the right eye.
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All parts of the paranasal sinuses are totally filled with non-uniform mass hyperdensive inclusions, extending into the cavity of the nasopharynx. The bone is thin walled with destruction of the posterior wall of the left frontal sinus, right lamna papyracea, posterior and lateral walls of the sphenoid sinus. Abnormal soft-tissue density within the right orbital cavity. Possible formation of epidural abscess in the frontal lobe. In the area of the right lacrimal gland fossa , there is a localized liquid mass, pushing m. rectus superior oculi.
The findings are more likely to represent chronic invasive fungal sinusitis with orbital cellulitis.