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Clinical Problem Solving: Radiology
October 2006

Radiology Quiz Case 1

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2006;132(10):1152. doi:10.1001/archotol.132.10.1152

A 43-year-old woman presented with a 5- to 6-year history of unilateral malodorous nasal discharge and nasal obstruction. She had presented with similar symptoms 2 years earlier. At that time, the results of computed tomography of the paranasal sinuses were reported as unremarkable. A few months before presentation to our clinic, her nasal discharge and obstruction began to worsen. She reported symptoms consistent with allergic rhinitis but denied facial pain, sinus pressure, fevers, or headache. Her medical history was significant only for open heart surgery to correct a congenital anomaly at the age of 5 years. She denied a history of cleft lip or palate, maxillofacial trauma, facial surgery, sinus surgery, or recent dental work.

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