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  Vol. 130 No. 4, April 2004 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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 •Paranasal Sinus Disease
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Radiology Quiz Case 1

Grant Gillman, MD, FRCS; Paul C. Bryson, BS; Uma N. M. Rao, MD
University of Pittsburgh School of Medicine, Pittsburgh, Pa

Arch Otolaryngol Head Neck Surg. 2004;130:479-480.

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

A 36-year-old woman presented to her primary care physician with a 1-month history of left facial, occipital, and retro-orbital headaches. As part of her workup, magnetic resonance imaging (MRI) was performed, and abnormal findings were noted in the right sphenoid sinus. She was subsequently referred to our service.

Her systems review and medical history revealed no abnormalities. In particular, she denied any history of sinus disease or recent visual changes. At nasal endoscopy, drainage coming from the right sphenoid sinus and swollen mucosa around the sphenoid ostium precluded visualization within the sinus. The rest of the findings of the physical examination were unremarkable.

After the MRI scan was reviewed, a noncontrast computed tomographic (CT) scan was ordered. The T1-weighted noncontrast axial MRI scan (Figure 1), T2-weighted axial MRI scan (Figure 2), and axial . . . [Full Text of this Article]



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RELATED ARTICLE

Radiology Quiz Case 1—Diagnosis
Arch Otolaryngol Head Neck Surg. 2004;130(4):481-482.
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