Presentation
5 months of "sinusitis" refractory to antibiotics and nasal steroids.
Patient Data
Age: 70
Gender: Female
From the case:
Chronic invasive fungal sinusitis with mycetoma
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Soft tissue mass in left maxillary antrum with central calcification and expansion of the ostium into the nasal cavity
From the case:
Chronic invasive fungal sinusitis with mycetoma
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T2 hypointense mass (representing fungal material with high proteinaceous content) in left antrum with surrounding mucosal thickeneing expanding the antrum into the left nasal cavity
Case Discussion
Expansile left maxillary antrum with calcification centrally on CT enlarging the ostium. T2 hypointensity centrally consistent with proteinaceous material and peripheral enhacement. This combination is indicative of chroic fungal sinusitis with mycetoma. Ostium is expanded not eroded as might be expected with invasive fungal disease
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