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William R. Spencer, MD; William R. Reisacher, MD; Matthew W. Shawl, MD; William T. Couldwell, MD, PhD; Augustine Moscatello, MD; Marie Bown-Wagner, MD

Arch Otolaryngol Head Neck Surg. 1998;124:1046-1048.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 15-YEAR-OLD boy presented with a 2-year history of epiphora and paroxysmal frontal headaches, as well as gradual right-sided facial swelling, nasal congestion, and anosmia with mucopurulent nasal discharge. He denied any visual changes, decrease in acuity, loss of visual fields, or pain. Physical examination revealed right orbital proptosis and a right-sided polypoid nasal mass. There were no neurological deficits. The patient's medical history was significant for a tonsillectomy and incision and drainage of a left parapharyngeal space abscess at the age of 12 years.

Gadolinium-enhanced magnetic resonance imaging (MRI) scans (Figure 1 and Figure 2) and a contrast-enhanced computed tomographic (CT) scan (Figure 3) were obtained. An expansile lesion that eroded the inner architecture of the ethmoidal sinus was visualized.

Figure 1.

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Valhalla, NY

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