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October 1968

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Arch Otolaryngol. 1968;88(4):450-453. doi:10.1001/archotol.1968.00770010452026

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RADIOLOGIC QUIZ CASE  Eiji Yanagisawa, MD Howard W. Smith, MD, DMD, New Haven, ConnA 30-year-old woman complained of dull frontal headaches following a recent cold. Examination of the ears, nose, and throat area was essentially within normal limits including transillumination of the sinuses. Routine sinus x-ray films, however, demonstrated a rounded soft tissue density in the region of the frontal sinuses in the Caldwell projection (Fig 1). When the posterior-anterior projection was repeated with slightly increased angulation, the mass became visible in the posterior ethmoid and orbital areas ( Fig 2). In the exaggerated Waters, lateral and base views, the mass could not be identified. What is the differential diagnosis?


George Kelemen, MD, Los Angeles  A 51-year-old woman presented herself with bilateral severe progressive hearing loss of uncertain starting date. She was seen again two years later and audiometry revealed profound deafness for air conduction and

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