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Chronic maxillary sinusitis

Case contributed by Andrew Dixon
Diagnosis almost certain

Presentation

Punched above right eye. Exclude fracture. (Hot Read)

Patient Data

Age: 35
Gender: Male
ct

Bilateral maxillary sinus mucoperiosteal thickening consistent with chronic sinusitis. There is no facial bone fracture. 

Case Discussion

Bilateral maxillary sinus mucoperiosteal thickening consistent with chronic sinusitis. Note there is no air-fluid level within the sinuses to indicate the presence of fluid which is seen in acute sinusitis or in the setting of facial trauma with blood. 

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