Intrasinus calcification

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Nasal congestion.

Patient Data

Age: 60 years
Gender: Male
ct

Right more than left maxillary sinus opacification with small regions of intrasinus calcification peripherally. Nasal cavity is clear. 

Case Discussion

Intrasinus calcification occurs in the setting of chronic sinusitis. It is often thought of in the context of fungal sinusitis (where the calcification appears centrally in the sinuses). In this case, the calcifications are peripheral and had been unchanged from a prior CT a few years prior, which goes against fungal sinusitis.

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