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Clinical Problem Solving: Radiology
October 2005

Radiology Quiz Case 3

Author Affiliations
 

R. NICKBRYANMDPATRICIA A.HUDGINSMD

Arch Otolaryngol Head Neck Surg. 2005;131(10):923. doi:10.1001/archotol.131.10.923

A 30-year-old woman in her second trimester of pregnancy (20 weeks) presented with a severe headache and pain in the right side of her face. Magnetic resonance imaging showed a soft tissue lesion in the right ethmoidal sinus, extending into the right orbit (Figure 1). The patient had a history of very poor vision in her right eye because of a cataract that had been present since childhood. Under anesthesia, she underwent a nasal examination and biopsy of the lesion, which was occupying the superior meatus and extending posteriorly toward the sphenoidal sinus. Wide surgical excision of the lesion by a combined endoscopic endonasal and craniofacial facial approach was planned.

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