R. NICKBRYANMDS. JAMESZINREICHMD
A 15-YEAR-OLD boy presented with a 2-year history of epiphora and paroxysmal frontal headaches, as well as gradual right-sided facial swelling, nasal congestion, and anosmia with mucopurulent nasal discharge. He denied any visual changes, decrease in acuity, loss of visual fields, or pain. Physical examination revealed right orbital proptosis and a right-sided polypoid nasal mass. There were no neurological deficits. The patient's medical history was significant for a tonsillectomy and incision and drainage of a left parapharyngeal space abscess at the age of 12 years.
Spencer WR, Reisacher WR, Shawl MW, Couldwell WT, Moscatello A, Bown-Wagner M. Imaging Quiz Case 1. Arch Otolaryngol Head Neck Surg. 1998;124(9):1046-1048. doi:10.1001/archotol.124.9.1046