1.CT SCAN, SINUSES

LOCATION:Outpatient, Hospital

PATIENT:Lillian Parker

PHYSICIAN:Ronald Green, MD

RADIOLOGIST:Morton Monson, MD

EXAMINATION OF:CT (computerized tomography) of sinuses

CLINICAL SYMPTOMS:Chronic sinus infection with change in mental status

2.COMPUTED TOMOGRAPHIC EXAMINATION OF THE PARANASAL SINUSES was performed utilizing thin axial images computed for high-resolution bone algorithm 3-D. Apparently direct coronal images could not be obtained. Therefore, coronal reconstructions were performed from the original data set. The study was performed under my supervision and is presented to me today for evaluation. Independent work station not required.

Frontal sinuses are well aerated. There may be some mucosal thickening at the base of each frontal sinus.

Most of the ethmoid sinuses show mucosal thickening. Several ethmoid sinuses are filled with abnormal soft-tissue density, although most ethmoid sinuses are at least partially aerated.

Bilaterally, the sphenoid sinuses show a considerable amount of mucosal thickening. Right sphenoid sinus is larger than the left. It is possible that there may be fluid level within either of the sphenoid sinuses.

Bilaterally, the maxillary sinuses show mucosal thickening, particularly posteriorly. I cannot comment about the drainage pathways of the maxillary sinuses. Unfortunately, there is movement artifact in the images, and this causes considerable misregistration of the coronal reconstructions.

There is a nasal airway inserted on the right.

I believe the right middle turbinate has most probably been surgically removed in the past. There may be surgically created small patency connecting the left middle meatus and the left maxillary sinus on image 19.

I do not appreciate overt bone erosion. It is presumed that the findings represent inflammatory change.

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