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Clinical Problem Solving: Radiology
April 2004

Radiology Quiz Case 1—Diagnosis

Author Affiliations
 

R. NICKBRYANMDPATRICIA A.HUDGINSMD

Arch Otolaryngol Head Neck Surg. 2004;130(4):481-482. doi:10.1001/archotol.130.4.481

The T1-weighted MRI scan (Figure 1) demonstrated a mass with imaging characteristics consistent with soft tissue, which largely disappeared on the T2-weighted MRI scan (Figure 2). The axial CT scan (Figure 3) showed inhomogeneous opacification with a patchy "ground glass" appearance within the right sphenoid sinus. There appeared to be a bony shell over the anterior aspect of the lesion and no expansion or erosion of the cortical walls of the sinus.

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