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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do These CT Scan Findings Indicate?

what does this mean:FINDINGS: There is near complete opacification of the bilateral maxillary sinuses with obstruction of the maxillary ostia. Mucosal enhancement is identified with fluid within the maxillary sinuses. The ethmoid sinuses are completely opacified. Mucosal thickening extends into the left frontal sinus, while the right frontal sinus is underdeveloped. Mucosal thickening is also identified in the sphenoid sinuses. There is rightward nasal septal deviation as well as left nasal mucosal hypertrophy. The nasolacrimal canals are patent. The orbits are unremarkable. The mastoid air cells and middle ears are clear. The soft tissues are normal. No acute bony abnormality is detected.
Tue, 19 Jan 2016
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
The interpretation of the CT of para-nasal sinuses is as follows:
There are various pairs and groups of para-nasal sinuses - frontal sinus, maxillary sinus, sphenoid sinus and ethmoid sinus.
The CT is showing opacification of ethmoid sinus and maxillary sinus.
In health, all sinuses are clear and transparent.
Opacification is due to accumulation of fluid or pus which is seen in infections.
In response to infection or inflammation, the mucosa of maxillary sinus, left frontal sinus, sphenoid sinus is thickened.
There is deviation of nasal septum also and the nasal mucosa is thickened on the side opposite to the side of deviation.
The ear structures and nasolacrimal duct are normal.
These findings suggest that almost all para-nasal sinuses are infected or inflamed.
The probable cause of infected and inflamed para-nasal sinuses is the deviated nasal septum.

Thanks and take care
Dr Shailja Puri
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What Do These CT Scan Findings Indicate?

Hello and welcome to HCM, The interpretation of the CT of para-nasal sinuses is as follows: There are various pairs and groups of para-nasal sinuses - frontal sinus, maxillary sinus, sphenoid sinus and ethmoid sinus. The CT is showing opacification of ethmoid sinus and maxillary sinus. In health, all sinuses are clear and transparent. Opacification is due to accumulation of fluid or pus which is seen in infections. In response to infection or inflammation, the mucosa of maxillary sinus, left frontal sinus, sphenoid sinus is thickened. There is deviation of nasal septum also and the nasal mucosa is thickened on the side opposite to the side of deviation. The ear structures and nasolacrimal duct are normal. These findings suggest that almost all para-nasal sinuses are infected or inflamed. The probable cause of infected and inflamed para-nasal sinuses is the deviated nasal septum. Thanks and take care Dr Shailja Puri