Mucocele-sphenoidal

Case contributed by Dr Ammar Haouimi

Presentation

Treated for chronic sinusitis

Patient Data

Age: 55 years
Gender: Female
MRI

The MRI sequences revealed a sphenoid mucocele of iso-to high signal intensity on T1WI, low signal intensity on T2WI (protein rich content) with peripheral enhancement on postcontrast sequences. It produces an expansile thinning of the surrounding bone with extension into the ipsilateral posterior ethmoid cells and choana. No evidence of optic nerve or cavernous sinus compression.

Filling of the left maxillary sinus and ipsilateral ethmoid cells (chronic sinusitis).

Case Discussion

MRI features of a sphenoidal mucocele with protein-rich content.

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Case information

rID: 65120
Published: 24th Dec 2018
Last edited: 4th Mar 2019
System: Head & Neck
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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