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Clinical Problem Solving: Radiology
April 2007

Radiology Quiz Case 2

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(4):408. doi:10.1001/archotol.133.4.408

An otherwise healthy 32-year-old man presented with a 6-month history of progressive right-sided nasal obstruction, facial pressure, and proptosis associated with purulent rhinorrhea and epiphora of the right eye. He denied facial trauma, epistaxis, diplopia, blurry vision, facial numbness, or bleeding disorders. Physical examination revealed significant right upward proptosis. A large fleshy, polypoid mass was observed completely obstructing the right nasal airway, without evidence of increased vascularity. Intraorally, there was bulging of the right palate, with no mucosal erosion.