R. NICKBRYANMDPATRICIA A.HUDGINSMD
A 13-year-old boy with no significant medical history was referred for evaluation of a "tumor in his sinus cavity." He presented to his primary physician with a history of headaches, which had been occurring approximately once a week for the past several months. Although one of his grandmothers suffered from migraine headaches, he reported no photophobia, auras, or other migraine-associated complaints. He did complain of rhinorrhea, especially when he was exposed to grass, and he had a family history of environmental allergies. When he was 11 years old, he was also diagnosed as having mild exercise-induced asthma, for which he takes bronchodilators as needed. He recently had recovered from a viral upper respiratory infection. He had no history of epistaxis and was otherwise healthy.
Hicks DL, daCosta EM, Kearns DB. Radiology Quiz Case 4. Arch Otolaryngol Head Neck Surg. 2004;130(9):1123. doi:10.1001/archotol.130.9.1123