Spheno-choanal polyp

Case contributed by Ammar Haouimi
Diagnosis probable

Presentation

Nasal obstruction

Patient Data

Age: 15 years
Gender: Female
mri
This study is a stack
Axial
T1
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Coronal
T2
This study is a stack
Axial T2
fat sat
This study is a stack
Coronal T2
fat sat
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Coronal T1
C+ fat sat
This study is a stack
Sagittal T1
C+ fat sat
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Info

There is a well-defined mass arising from the sphenoid sinus, extending through the sphenoethmoidal recess to the nasopharynx, obstructing both choanae (mainly the right). It appears of low signal intensity on T1WI, high signal intensity on T2WI with peripheral enhancement following IV contrast.

Case Discussion

 Sphenochoanal polyp is a rare benign tumor, arising from the sphenoid sinus. The main symptom is a progressive nasal obstruction. The differential diagnosis should include the antrochoanal polyp which is the most common. The treatment is surgical (usually endoscopic approach).

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