Sinusitis

Case contributed by Dr David Puebla

Presentation

Frontal pain, secretions

Patient Data

Age: 30
Gender: Male
CT

Mucosal thickening of the maxillary sinus, ethmoidal and sphenoidal sinuses with out air fluid levels. 

Case Discussion

In the absence of air-fluid levels it is difficult to make the diagnosis of acute sinusitis, but rather the features are suggestive of chronic sinusitis. This patient may well have sinus pain (obstructed ostia, changes in pressure etc..) but the term acute sinusitis usually is reserved for acute pyogenic infection rather than exacerbations. 

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Case information

rID: 22181
Case created: 17th Mar 2013
Last edited: 19th Mar 2017
System: Head & Neck
Inclusion in quiz mode: Included

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