Acute invasive fungal sinusitis with orbital involvement
Hemifacial pain and swelling in a diabetic patient
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Left maxillary, ethmoidal and frontal opacities favoring sinusitis with extention into left orbit and causing orbital abscess and proptosis. Left hemifacial swelling also noted.
In a 55 Y/O diabetic patient with left hemifacial pain and swelling ; left maxillary, ethmoidal and frontal sinusitis are seen with extention into left orbit and causing orbital abscess and proptosis. No definite hyperdense components are seen on the non contrast images.
The findings consistent fungal sinusitis with orbital abscess (likely acute invasive).
- 1. Momeni AK, Roberts CC, Chew FS. Imaging of chronic and exotic sinonasal disease: review. AJR Am J Roentgenol. 2007;189 (6): S35-45. doi:10.2214/AJR.07.7031 [pubmed citation]
- 2. Aribandi M, McCoy VA, Bazan C. Imaging features of invasive and noninvasive fungal sinusitis: a review. Radiographics. 27 (5): 1283-96. doi:10.1148/rg.275065189 [pubmed citation]