An otherwise healthy 32-year-old man presented with a 6-month history of progressive right-sided nasal obstruction, facial pressure, and proptosis associated with purulent rhinorrhea and epiphora of the right eye. He denied facial trauma, epistaxis, diplopia, blurry vision, facial numbness, or bleeding disorders. Physical examination revealed significant right upward proptosis. A large fleshy, polypoid mass was observed completely obstructing the right nasal airway, without evidence of increased vascularity. Intraorally, there was bulging of the right palate, with no mucosal erosion.
Shen KJ, Som PM, Teng MS. Radiology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2007;133(4):408. doi:10.1001/archotol.133.4.408