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Clinical Problem Solving: Radiology
March 2013

Radiology Quiz Case 2

JAMA Otolaryngol Head Neck Surg. 2013;139(3):309. doi:10.1001/jamaoto.2013.24

A 50-year-old man presented with persistent right nasal congestion. He had a history of 2 prior endoscopic endonasal polypectomies, the most recent of which was 3 years prior to current presentation. He denied visual changes and headaches. His medical history was positive for type 1 Von Willebrand disease.

Endoscopic examination revealed a bulky polypoid mass in the right middle meatus. In addition, pale polyps were present in the left and right anterior ethmoid region. The findings of the remainder of a complete head and neck examination, including cranial nerve evaluation, were within normal limits.

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