Sinonasal polyposis with secondary fungal infection

Case contributed by Abdel-Rahman Abdel-Halim , 7 Oct 2014
Diagnosis almost certain
Changed by Abdel-Rahman Abdel-Halim, 8 Oct 2014

Updates to Case Attributes

Body was added:

Chronic rhinosinusitis is defined as disease lasting more than 12 weeks (1).

Fungal infection is relatively common, and is broadly divided into invasive and non-invasive forms,defined by the presence or absence of fungal hyphae in the mucosa and soft tissues of the sinonasal cavity (2).

CT characteristically demonstrates multiple sinus opacification with sinus expansion and the presence of hyperdense material. Benign bony remodelling, resorption and erosion into adjacentstructures can be seen (3, 4).

  • +<p>Chronic rhinosinusitis is defined as disease lasting more than 12 weeks (1).</p><p>Fungal infection is relatively common, and is broadly divided into invasive and non-invasive forms,defined by the presence or absence of fungal hyphae in the mucosa and soft tissues of the sinonasal cavity (2).</p><p>CT characteristically demonstrates multiple sinus opacification with sinus expansion and the presence of hyperdense material. Benign bony remodelling, resorption and erosion into adjacent<br>structures can be seen (3, 4).</p><p> </p><p> </p><p> </p><p> </p>

References changed:

  • 1-Lanza DC, Kennedy DW. Adult rhinosinusitis defined.Otolaryngol Head Neck Surg 1997;117:S1–S7.

Updates to Study Attributes

Images Changes:

Image CT (non-contrast) ( update )

Description was added:
Almost total opacification of paranasal sinuses
Stack was set to .
Single Or Stack Root was set to .

Image CT (Soft tissue window) ( update )

Description was added:
hyperdense material is seen at both maxillary antra and the nasal cavity
Stack was set to .
Single Or Stack Root was set to .

Image CT (non-contrast) ( update )

Stack was set to .
Single Or Stack Root was set to .

Image CT (Soft tissue window) ( update )

Stack was set to .
Single Or Stack Root was set to .

Image CT (bone window) ( update )

Stack was set to .
Single Or Stack Root was set to .

Image CT (bone window) ( update )

Stack was set to .
Single Or Stack Root was set to .

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.