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  Vol. 130 No. 7, July 2004 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case 1

Ilknur Haberal, MD; Stephanie Su, MD; Wendy Recant, MD; Edward Michael, MD
The University of Chicago, Chicago, Ill

Arch Otolaryngol Head Neck Surg. 2004;130:892-893.

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

A 70-year-old man presented with a change in mental status. He had undergone a nephrectomy for renal cell carcinoma in 1991 and chemoradiation therapy for metastases to the hip and spine in 1999. His disease had been in remission since 2000. A noninfused computed tomographic scan of his head showed a soft tissue density in the left ethmoid region surrounded by bone remodeling. No intracranial metastases were seen. Chest and abdominal radiographs did not reveal any metastases. The patient did not have any nasal symptoms. Rigid nasal endoscopy revealed an isolated smooth, circumscribed, nonpolypoid, solid mass within the left middle meatus. There was no evidence of pus. An infused maxillofacial computed tomogram further defined the soft tissue as a 2-cm, rim-enhancing, expansile lesion within the left ethmoid sinus extending inferiorly into the nasal cavity and demonstrating bone remodeling . . . [Full Text of this Article]



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