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Radiology Quiz Case
Perrin C. Clark, MD;
Peter Bondy, MD;
Lionel Jacob, MD
Naval Medical Center, Portsmouth, Va
Arch Otolaryngol Head Neck Surg. 2002;128:979-980.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 54-YEAR-OLD black woman presented with a 9-month history of increased
nasal congestion and right-sided epistaxis. Eight months earlier, she was
diagnosed as having pulmonary sarcoidosis, for which she was being treated
with systemic corticosteroids. She had no other complaints. Her medical and
surgical histories were unremarkable. Physical examination revealed an exterior
mass involving the right upper lateral nasal wall, as well as internal submucosal
swelling near the uncinate and attachment of the right middle turbinate. Magnetic
resonance imaging and computed tomographic scans (Figure 1 and Figure 2)
revealed bony destruction of the right nasal bone. Nasal endoscopy with biopsy
was performed, and the specimen was sent for pathologic analysis (Figure 3, Figure 4, and Figure 5).
What is your diagnosis?
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Figure 1.
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Figure 2.
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Figure 3.
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Figure 4.
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Figure 5.
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Diagnosis: Nasal sarcoidosis, in association with pulmonary sarcoidosis
Sarcoidosis is a . . . [Full Text of this Article]
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