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What Does The Following Nasal Test Result Indicate?
Question: what does this mean in layman's terms?
Complete opacification of the right frontal sinus and right frontal ethmoidal recess. This is secondary to mucosal thickening.
Mild mucosal thickening within the left frontal sinus.
High riding anterior ethmoid air cell on the left containing a mucosal retention cyst or polyp.
Postsurgical changes.
Completely opacified left-sided ethmoid air cell containing fluid or mucosal thickening. There is dehiscence involving the superior wall of this ethmoid air cell, with questionable communication with CSF.
The left middle turbinate partially extends into the left antral window. Rounded focus of soft tissue within the right maxillary antrum suggesting a polyp or mucosal retention cyst.
Mild nasal septal deviation toward the right. Hypertrophy of the middle and inferior turbinates bilaterally. This results in mild to moderate narrowing of the nasal cavity.
Complete opacification of the right frontal sinus and right frontal ethmoidal recess. This is secondary to mucosal thickening.
Mild mucosal thickening within the left frontal sinus.
High riding anterior ethmoid air cell on the left containing a mucosal retention cyst or polyp.
Postsurgical changes.
Completely opacified left-sided ethmoid air cell containing fluid or mucosal thickening. There is dehiscence involving the superior wall of this ethmoid air cell, with questionable communication with CSF.
The left middle turbinate partially extends into the left antral window. Rounded focus of soft tissue within the right maxillary antrum suggesting a polyp or mucosal retention cyst.
Mild nasal septal deviation toward the right. Hypertrophy of the middle and inferior turbinates bilaterally. This results in mild to moderate narrowing of the nasal cavity.
Brief Answer:
Chronic sinusitis
Detailed Answer:
Hi
Welcome to HealthcareMagic and thanks for putting up the query
The CT scan report says there is sinusitis. There is mucosal thickening in all the paranasal sinuses I.e infection in the sinuses. The frontal sinuses are located in forehead. They is complete opacification means they are completely filled with mucosa. The mucosal thickness is to the extent that it has extended to the nasal cavity forming polyps I.e. mucosal mass in nose. The patient might have undergone some surgery in the past that is suggested by the mild dehisence in the roof of nasal cavity. There is mucosal thickening in the maxillary sinuses also which lie in the region of cheeks.
The nasal bone is turned more to one side I.e. deviated nasal septum causing narrowed cavity. The nasal mucosa has also hypertrophic I.e. increased in thickness.
Any further questions are always welcome.
Take care
Thanks and regards
Chronic sinusitis
Detailed Answer:
Hi
Welcome to HealthcareMagic and thanks for putting up the query
The CT scan report says there is sinusitis. There is mucosal thickening in all the paranasal sinuses I.e infection in the sinuses. The frontal sinuses are located in forehead. They is complete opacification means they are completely filled with mucosa. The mucosal thickness is to the extent that it has extended to the nasal cavity forming polyps I.e. mucosal mass in nose. The patient might have undergone some surgery in the past that is suggested by the mild dehisence in the roof of nasal cavity. There is mucosal thickening in the maxillary sinuses also which lie in the region of cheeks.
The nasal bone is turned more to one side I.e. deviated nasal septum causing narrowed cavity. The nasal mucosa has also hypertrophic I.e. increased in thickness.
Any further questions are always welcome.
Take care
Thanks and regards
Above answer was peer-reviewed by :
Dr. Prasad
I previously had FESS as noted. I'm fairly certain that another endoscopic surgery will be necessary as antibiotics have failed to clear recurrent infections. I am most concerned about the questionable CSF communication. that is noted in the report. What does that mean?
Brief Answer:
Chronic sinusitis
Detailed Answer:
Hi
Thanks for the follow up query.
yes another FESS is recommended in your case as the disease is already involving all the sinuses. CSF communication means a break in the bony separation but this can happen during FESS surgery and no treatment is required unless CSF rhinorrhoea is there. This point has to be kept in mind by the surgeon during repeat surgery. If any impending CSF rhinnorhoea is there it can be repaired simultaneously.
You are always welcome with any further questions.
Take care
Thanks and regards
Chronic sinusitis
Detailed Answer:
Hi
Thanks for the follow up query.
yes another FESS is recommended in your case as the disease is already involving all the sinuses. CSF communication means a break in the bony separation but this can happen during FESS surgery and no treatment is required unless CSF rhinorrhoea is there. This point has to be kept in mind by the surgeon during repeat surgery. If any impending CSF rhinnorhoea is there it can be repaired simultaneously.
You are always welcome with any further questions.
Take care
Thanks and regards
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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