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.
Huang C, Lee T. Radiology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2008;134(9):1009. doi:10.1001/archotol.134.9.1009