Invasive Fungal Rhinosinusitis 3
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0091-Invasive Fungal Rhinosinusitis 3
View Images
CA0091-Invasive Fungal Rhinosinusitis 3
Case ReportHistory
Exam
Prior Study
Findings
Nasal Cavity and Nasolacrimal Canal and Sac
There is minimal, focal mucoperiosteal thickening in the right anterior middle meatus with no definite associated bone erosion at the junction of the ethmoid and lacrimal bones. There is continued soft tissue swelling around the lacrimal sac mainly anterior to the posterior lacrimal crest extending into the pre-septal soft tissues. That abnormal soft tissue swelling extends minimally inferiorly to infiltrate the fat pad between the superficial musculo-aponeurotic system of the face between it and the anterior wall of the upper maxillary sinus. This infiltration surrounds the branches of the infraorbital neural vascular bundle just as they emerge from the infraorbital canal on to the cheek within that fat pad.
Otherwise there is no focal area of mucosal thickening or a focal destructive, ulcerative or necrotic abnormality of the nasal septum or turbinates.
Sinuses and Orbits
There is very minimal mucoperiosteal thickening in the right anterior ethmoid sinuses and in the sphenoid sinus on the left. This shows no bone erosion. The fat planes in the canine fossa, anterior to the maxillary sinus and deep to the SMAS are minimally infiltrated in a manner described previously.
The extraconal orbital fat superior to the infraorbital vascular bundle within its canal are not infiltrated. The extraconal orbital fat along the anterior medial orbital wall adjacent to the lacrimal sac and just posterior to the nasal septum are not infiltrated.
The orbital apex and the superior and inferior orbital fissures are not infiltrated.
The fat pads posterior to the maxillary sinus and within the adjacent pterygopalatine fossa are not infiltrated.
Nasopharynx
There is no deeply infiltrating or necrotic/ulcerative process of the nasopharynx.
Other Findings
The visualized portions of the brain are normal for the patient’s age.
Other significant abnormal findings are not present.
