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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
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11 topics, 42 min.
11 topics, 29 min.
11 topics, 21 min.
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Interactive Transcript
Report
Patient History
Sinusitis.
Findings
There is diffuse opacification of the right nasal cavity extending superiorly to involve the right ethmoid air cells and extending posteriorly to involve the right sphenoethmoidal recess and extending into the right sphenoid sinus. There are multiple areas of increased attenuation within this abnormality. This is associated with expansion of the ethmoid sinuses with mild regressive remodeling of the posterior aspect of the right lamina papyracea and leftward deviation of the superior nasal septum. There is enlargement of the right sphenoethmoidal recess.
Hypoplastic right maxillary sinus with near complete opacification. Mild increased attenuation which could be due to superimposed fungal colonization. Mucosal thickening involving alveolar recess left maxillary sinus.
Imaging of the anterior skull base shows no evidence of aggressive lesions eroding the anterior skull base. No evidence of encephalocele. Cribriform plate is intact.
Visualized portion of the brain shows prominence of the sulci and ventricles. However, dedicated brain imaging is necessary for complete diagnostic evaluation.
Conclusions
1. Diffuse mucosal thickening associated with increased attenuation and regressive remodeling and expansion of the involved paranasal sinuses most consistent with allergic fungal sinusitis involving the nasal cavity, right ethmoid sinus and right sphenoid sinus.
2. Near complete opacification of a hypoplastic right maxillary sinus that is likely due to chronic polypoid mucosal thickening.
Case Discussion
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Suresh K Mukherji, MD, FACR, MBA
Clinical Professor, University of Illinois & Rutgers University. Faculty, Michigan State University. Director Head & Neck Radiology, ProScan Imaging
Tags
Neuroradiology
Head and Neck
CT
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