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Clinical Problem Solving: Radiology
April 2004

Radiology Quiz Case 1

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2004;130(4):479-480. doi:10.1001/archotol.130.4.479

A 36-year-old woman presented to her primary care physician with a 1-month history of left facial, occipital, and retro-orbital headaches. As part of her workup, magnetic resonance imaging (MRI) was performed, and abnormal findings were noted in the right sphenoid sinus. She was subsequently referred to our service.

Her systems review and medical history revealed no abnormalities. In particular, she denied any history of sinus disease or recent visual changes. At nasal endoscopy, drainage coming from the right sphenoid sinus and swollen mucosa around the sphenoid ostium precluded visualization within the sinus. The rest of the findings of the physical examination were unremarkable.