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Radiology Quiz Case 1Diagnosis
Arch Otolaryngol Head Neck Surg. 2004;130:1342-1343.
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Diagnosis: Rhinolith
A CT scan of the paranasal sinuses revealed a calcified mass along the floor of the nose. The mass seemed to be arising from or attached to the inferior turbinate. It was occupying and expanding the right inferior meatus. There was septal deviation to the left as a result of the mass effect of the lesion. The lesion was clinically diagnosed as a rhinolith. After discussion with the patient, the decision was made to perform endoscopic examination with removal of the lesion using general anesthesia on an elective basis.
At the time of surgery, a mass identical to that seen on office endoscopy was found (Figure 2 [IT indicates inferior turbinate]). It was friable and bled easily on manipulation. It was adherent to the inferior turbinate and appeared to erode into the turbinate itself. There were polyploid changes of the inferior turbinate associated with the mass, which was endoscopically . . . [Full Text of this Article]
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