Sinonasal polyposis

Case contributed by Dr Abdel-Rahman Abdel-Halim

Presentation

Blocked nose, mouth breathing and headache

Patient Data

Age: 50
Gender: Female
CT

Diffuse extensive marked mucosal thickening and total soft tissue opacification of the sphenoid and frontal sinuses, both maxillary antra as well as the ethmoidal complexes on both sides, that appears merging with the nasal turbinates and almost totally obliterating the nasal cavities. 

Soft tissue window images show hyperdense material within the nasal cavity and the left maxillary antra suggesting fungal infection.

Case Discussion

This case represents a classic example of sinonasal polyposis.

There is total soft tissue opacification of the paranasal sinuses and almost the whole nasal cavity.

Fungal infection is a common association, suggested by high attenuating material within the left maxillary antrum and both nasal cavities.

 

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Case information

rID: 31865
Case created: 2nd Nov 2014
Last edited: 7th Jan 2016
System: Head & Neck
Inclusion in quiz mode: Included

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