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Clinical Problem Solving: Radiology
September 15, 2008

Radiology Quiz Case 2

Author Affiliations
 

PATRICIA A.HUDGINSMD

Arch Otolaryngol Head Neck Surg. 2008;134(9):1009. doi:10.1001/archotol.134.9.1009

A 25-year-old woman presented with a 1-year history of right-sided nasal obstruction, purulent rhinorrhea, intermittent epistaxis, and headache. Right-sided facial paresthesia, without an obvious right-sided facial palsy, had also developed in the last 3 months. The patient had no symptoms of blurred vision or diploplia. She had a 6-year history of cigarette smoking. Endoscopic examination revealed a reddish solid mass occupying the middle meatus and extending posteriorly toward the sphenoidal sinus.

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