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Clinical Problem Solving: Radiology
November 2004

Radiology Quiz Case 1—Diagnosis

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Copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2004

Arch Otolaryngol Head Neck Surg. 2004;130(11):1342-1343. doi:10.1001/archotol.130.11.1342

A CT scan of the paranasal sinuses revealed a calcified mass along the floor of the nose. The mass seemed to be arising from or attached to the inferior turbinate. It was occupying and expanding the right inferior meatus. There was septal deviation to the left as a result of the mass effect of the lesion. The lesion was clinically diagnosed as a rhinolith. After discussion with the patient, the decision was made to perform endoscopic examination with removal of the lesion using general anesthesia on an elective basis.

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