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Clinical Problem Solving: Radiology
January 2007

Radiology Quiz Case 1

Author Affiliations

Copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2007

Arch Otolaryngol Head Neck Surg. 2007;133(1):90. doi:10.1001/archotol.133.1.90

A healthy, normal-appearing 4-month-old white boy presented with a 2-month history of significant nasal congestion that interfered with feeding and caused obstructive breathing during sleep. A computed tomographic (CT) scan of his paranasal sinuses revealed bilateral maxillary opacification and medial bulging of the lateral nasal walls (Figure 1). An ophthalmologic evaluation ruled out any abnormalities of the nasal lacrimal duct apparatus. Administration of topical nasal saline, steroid sprays, a proton pump inhibitor, and antibiotics did not improve the patient's symptoms. He was subsequently taken to the operating room for bilateral maxillary antrostomies (Figure 2 and Figure 3).