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Clinical Problem Solving: Radiology
August 2002

Radiology Quiz Case

Arch Otolaryngol Head Neck Surg. 2002;128(8):979. doi:

A 54-YEAR-OLD black woman presented with a 9-month history of increased nasal congestion and right-sided epistaxis. Eight months earlier, she was diagnosed as having pulmonary sarcoidosis, for which she was being treated with systemic corticosteroids. She had no other complaints. Her medical and surgical histories were unremarkable. Physical examination revealed an exterior mass involving the right upper lateral nasal wall, as well as internal submucosal swelling near the uncinate and attachment of the right middle turbinate. Magnetic resonance imaging and computed tomographic scans (Figure 1 and Figure 2) revealed bony destruction of the right nasal bone. Nasal endoscopy with biopsy was performed, and the specimen was sent for pathologic analysis (Figure 3, Figure 4, and Figure 5).

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