Presentation
Headache
Patient Data
Keros skull base type 2
Right sinus and drainage pathways
Frontal sinus and frontal recess: mild mucosal thickening in frontal recess.
Maxillary sinus: small retention mucosal polyp. Internal septum present.
Ethmoid sinus: mild mucosal thickening.
Ostiomeatal complex: normal.
Sphenoid sinus: normal.
Sphenoethmoidal recess: normal.
Left sinus and drainage pathways
Frontal sinus and frontal recess: chronic undisplaced outer table fracture. Mild mucosal thickening in frontal recess.
Maxillary sinus: normal.
Ethmoid sinus: mild mucosal thickening.
Ostiomeatal complex: normal.
Sphenoid sinus: hypoplastic, inflamed.
Sphenoethmoidal recess: normal.
Other findings
Nasal cavity: bilateral concha bullosa with left inflammation. Paradoxical left middle turbinate.
Orbits: normal
Anterior cranial fossa: normal.
Nasopharynx: normal.
Mastoid air cells: normal
The following findings are concluded in this study:
mild bilateral frontal, ethmoidal, maxillary and left sphenoidal sinusitis.
chronic undisplaced left frontal sinus outer table fracture.
inflamed left concha bullosa.
Case Discussion
Pneumatization of the middle turbinate is called concha bullosa. Inflammation within it per se is often a cause of headache. Here we also have a paradoxical left middle turbinate.