CaseReport1
CaseReport1
CaseReport1
ReportHistory
Exam
Prior Study
Findings & Impressions
Findings:
There is mucoperiosteal thickening in the frontal sinus, bilateral ethmoid air cells, both maxillary sinuses, and the sphenoid sinus. There is opacification of several left mastoid air cells.
There is a large perforation of the anterior nasal septum with high density material in the nasal cavity. There is soft tissue fullness in the left pterygopalatine fossa and foramen rotundum and crossing the left sphenopalatine foramen into the posterior nasal cavity.
The premaxillary and retroantral fat are preserved bilaterally. There is no erosion along the nasolacrimal ducts and no intracranial extension. There is bony dehiscence of the right cavernous internal carotid artery adjacent to the sphenoid sinus.
The patient had a previous left maxillary molar extraction.
There are atherosclerotic calcifications in the common carotid arteries bilaterally.
Impression:
There is aggressive rhinosinusitis consistent with invasive fungal disease in this immune compromised patient. There is a large new perforation of the anterior nasal septum as well as invasion through the left sphenopalatine foramen into the pterygopalatine fossa.
Recommendations:
For your training purposes, recommendations are not included in this report.