The MRI sequences demonstrate a hypointense signal on T1WI, markedly hypointense signal on T2WI mainly of the maxillary antrum and sphenoid sinus (due to the high concentration of various metals by the fungal organisms as well as the high protein content) with peripheral inflamed mucosal thickness of intermediate signal on T1WI, high signal on T2WI, enhanced on post-contrast sequences. The right ethmoid cells as well as the ipsilateral nasal fossa show also areas of very low signal on T2WI. Moderate peripheral mucosal thickening of the left maxillary antrum.