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Chronic Fungal Sinusitis

Feldt BAF - MedPix (2008)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Chronic Fungal Sinusitis

History: Patient presented after a 9-month cruise - his parents did not recognize his face. His nose was bigger and his eyes were farther apart than they remembered. He complained of slight frontal headaches, but had no other symptoms.

Findings: • Image 1: Axial CT with expansion and opacification of frontal sinus, with marked thinning and disruption of bone comprising the inner table of the frontal bone • Image 2: Axial CT with expansion of ethmoid sinus, with disruption of bone comprising the left lamina papyracea • Image 3: Coronal CT with expansion of all paranasal sinuses, with extradural extension into the anterior cranial fossa and extraconal extension into the left orbit • Image 4: T1 MRI with heterogeneous signal in the frontal sinuses without changes to the frontal lobe of the brain • Image 5: T2 MRI with extradural expansion of heterogeneous mass into the anterior cranial fossa

Ddx: • Sinus neoplasm • Chronic bacterial sinusitis • Allergic fungal sinusitis • Acute fungal sinusitis • Chronic fungal sinusitis • Granulomatous fungal sinusitis • Sinus mycetoma

Dxhow: Histopathology and culture

Exam: Showed hypertelorism of the eyes.

No MeSH data available.


Expansion and opacification of ethmoid sinus, with disruption of bone comprising the left lamina papyrecea
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MPX1064_synpic41378: Expansion and opacification of ethmoid sinus, with disruption of bone comprising the left lamina papyrecea


Chronic Fungal Sinusitis

Feldt BAF - MedPix (2008)

Expansion and opacification of ethmoid sinus, with disruption of bone comprising the left lamina papyrecea
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1064&req=5

MPX1064_synpic41378: Expansion and opacification of ethmoid sinus, with disruption of bone comprising the left lamina papyrecea

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Chronic Fungal Sinusitis

History: Patient presented after a 9-month cruise - his parents did not recognize his face. His nose was bigger and his eyes were farther apart than they remembered. He complained of slight frontal headaches, but had no other symptoms.

Findings: • Image 1: Axial CT with expansion and opacification of frontal sinus, with marked thinning and disruption of bone comprising the inner table of the frontal bone • Image 2: Axial CT with expansion of ethmoid sinus, with disruption of bone comprising the left lamina papyracea • Image 3: Coronal CT with expansion of all paranasal sinuses, with extradural extension into the anterior cranial fossa and extraconal extension into the left orbit • Image 4: T1 MRI with heterogeneous signal in the frontal sinuses without changes to the frontal lobe of the brain • Image 5: T2 MRI with extradural expansion of heterogeneous mass into the anterior cranial fossa

Ddx: • Sinus neoplasm • Chronic bacterial sinusitis • Allergic fungal sinusitis • Acute fungal sinusitis • Chronic fungal sinusitis • Granulomatous fungal sinusitis • Sinus mycetoma

Dxhow: Histopathology and culture

Exam: Showed hypertelorism of the eyes.

No MeSH data available.