eMedicine Specialties > Radiology > Head/Neck

Sinusitis: Multimedia

Author: Rochita V Ramanan, MD, Consultant in charge, Department of Radiology, The Apollo Heart Centre, Chennai, India
Coauthor(s): Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR, LRCP, Chairman of Medical Imaging, Professor of Radiology, NGHA, King Fahad National Guard Hospital, King Abdulaziz Medical City, Riyadh, Saudi Arabia; Durre Sabih, MBBS, MSc, Visiting Faculty, Department of Nuclear Medicine, Pakistan Institute Applied Sciences and Nishtar Medical College, Director, Multan Institute of Nuclear Medicine and Radiotherapy
Contributor Information and Disclosures

Updated: Feb 20, 2007

Multimedia

Air-fluid level (arrow) in the maxillary sinus su...Media file 1: Air-fluid level (arrow) in the maxillary sinus suggests sinusitis.
Air-fluid level (arrow) in the maxillary sinus su...

Air-fluid level (arrow) in the maxillary sinus suggests sinusitis.

Accessory ostia in the medial walls of both maxil...Media file 2: Accessory ostia in the medial walls of both maxillary sinuses with left maxillary sinusitis.
Accessory ostia in the medial walls of both maxil...

Accessory ostia in the medial walls of both maxillary sinuses with left maxillary sinusitis.

Deviated nasal septum on a coronal high-resolutio...Media file 3: Deviated nasal septum on a coronal high-resolution CT scan.
Deviated nasal septum on a coronal high-resolutio...

Deviated nasal septum on a coronal high-resolution CT scan.

Bilateral ethmoid sinusitis on an MRI.Media file 4: Bilateral ethmoid sinusitis on an MRI.
Bilateral ethmoid sinusitis on an MRI.

Bilateral ethmoid sinusitis on an MRI.

Concha bullosa of the right middle turbinate.Media file 5: Concha bullosa of the right middle turbinate.
Concha bullosa of the right middle turbinate.

Concha bullosa of the right middle turbinate.

Ethmoid sinusitis with intracranial extension and...Media file 6: Ethmoid sinusitis with intracranial extension and also extension into the left orbit.
Ethmoid sinusitis with intracranial extension and...

Ethmoid sinusitis with intracranial extension and also extension into the left orbit.

Paradoxical curves of both middle turbinates caus...Media file 7: Paradoxical curves of both middle turbinates cause narrowing of the osteomeatal units.
Paradoxical curves of both middle turbinates caus...

Paradoxical curves of both middle turbinates cause narrowing of the osteomeatal units.

Sinonasal polyposis. Soft tissues completely fill...Media file 8: Sinonasal polyposis. Soft tissues completely fill the maxillary and ethmoid sinuses and extend into the nasal cavities.
Sinonasal polyposis. Soft tissues completely fill...

Sinonasal polyposis. Soft tissues completely fill the maxillary and ethmoid sinuses and extend into the nasal cavities.

CT scan obtained after functional endoscopic sinu...Media file 9: CT scan obtained after functional endoscopic sinus surgery (FESS) shows surgical defects in both nasal cavities in the form of excision of the entire right osteomeatal unit and the left uncinate process with residual left ethmoid and maxillary sinusitis.
CT scan obtained after functional endoscopic sinu...

CT scan obtained after functional endoscopic sinus surgery (FESS) shows surgical defects in both nasal cavities in the form of excision of the entire right osteomeatal unit and the left uncinate process with residual left ethmoid and maxillary sinusitis.

Polypoid mucosal thickening in the right maxillar...Media file 10: Polypoid mucosal thickening in the right maxillary sinus with a mucous retention cyst in the left on a Waters view.
Polypoid mucosal thickening in the right maxillar...

Polypoid mucosal thickening in the right maxillary sinus with a mucous retention cyst in the left on a Waters view.

Right-sided sphenoethmoidal pattern of sinusitis.Media file 11: Right-sided sphenoethmoidal pattern of sinusitis.
Right-sided sphenoethmoidal pattern of sinusitis.

Right-sided sphenoethmoidal pattern of sinusitis.

Mucous retention cysts along the floor of the rig...Media file 12: Mucous retention cysts along the floor of the right and the anterior wall of the left maxillary sinuses.
Mucous retention cysts along the floor of the rig...

Mucous retention cysts along the floor of the right and the anterior wall of the left maxillary sinuses.

Mucosal thickening in the left anterior ethmoid a...Media file 13: Mucosal thickening in the left anterior ethmoid and maxillary sinuses and in the region of the infundibulum. This indicates an osteomeatal pattern of sinusitis.
Mucosal thickening in the left anterior ethmoid a...

Mucosal thickening in the left anterior ethmoid and maxillary sinuses and in the region of the infundibulum. This indicates an osteomeatal pattern of sinusitis.

Frontal mucocele. Expansion of the left frontal ...Media file 14: Frontal mucocele. Expansion of the left frontal sinus indicated by low-attenuating soft tissues with thinning of the walls but no erosion.
Frontal mucocele. Expansion of the left frontal ...

Frontal mucocele. Expansion of the left frontal sinus indicated by low-attenuating soft tissues with thinning of the walls but no erosion.

Fungal sinusitis. Soft tissues occupy the right m...Media file 15: Fungal sinusitis. Soft tissues occupy the right maxillary and ethmoid sinuses with central hyperattenuating areas typical of fungal sinusitis. Medial walls of the affected sinuses are eroded.
Fungal sinusitis. Soft tissues occupy the right m...

Fungal sinusitis. Soft tissues occupy the right maxillary and ethmoid sinuses with central hyperattenuating areas typical of fungal sinusitis. Medial walls of the affected sinuses are eroded.

MRI shows intraorbital extension of ethmoid sinus...Media file 16: MRI shows intraorbital extension of ethmoid sinusitis on the right side.
MRI shows intraorbital extension of ethmoid sinus...

MRI shows intraorbital extension of ethmoid sinusitis on the right side.

Axial MRI in the same patient as in Image 16 show...Media file 17: Axial MRI in the same patient as in Image 16 shows right intraorbital extension of sinusitis with medial displacement of medial rectus muscle.
Axial MRI in the same patient as in Image 16 show...

Axial MRI in the same patient as in Image 16 shows right intraorbital extension of sinusitis with medial displacement of medial rectus muscle.

Expansion of the left anterior ethmoid sinuses wi...Media file 18: Expansion of the left anterior ethmoid sinuses with thinned bit intact bony walls; these findings suggest a mucocele.
Expansion of the left anterior ethmoid sinuses wi...

Expansion of the left anterior ethmoid sinuses with thinned bit intact bony walls; these findings suggest a mucocele.

Media file 19:

More on Sinusitis

Overview: Sinusitis
Imaging: Sinusitis
Follow-up: Sinusitis
Multimedia: Sinusitis
References

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Further Reading

Keywords

rhinosinusitis, functional endoscopic sinus surgery, FESS

Contributor Information and Disclosures

Author

Rochita V Ramanan, MD, Consultant in charge, Department of Radiology, The Apollo Heart Centre, Chennai, India
Disclosure: Nothing to disclose.

Coauthor(s)

Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR, LRCP, Chairman of Medical Imaging, Professor of Radiology, NGHA, King Fahad National Guard Hospital, King Abdulaziz Medical City, Riyadh, Saudi Arabia
Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR, LRCP is a member of the following medical societies: American Institute of Ultrasound in Medicine, Radiological Society of North America, Royal College of Physicians, Royal College of Physicians and Surgeons of the United States, Royal College of Radiologists, and Royal College of Surgeons of England
Disclosure: Nothing to disclose.

Durre Sabih, MBBS, MSc, Visiting Faculty, Department of Nuclear Medicine, Pakistan Institute Applied Sciences and Nishtar Medical College, Director, Multan Institute of Nuclear Medicine and Radiotherapy
Disclosure: Nothing to disclose.

Medical Editor

Barton F Branstetter IV, MD, Assistant Professor of Radiology and Otolaryngology, University of Pittsburgh; Director of Head and Neck Imaging, Associate Director of Informatics, Department of Radiology, Division of Neuroradiology, University of Pittsburgh Medical Center
Barton F Branstetter IV, MD is a member of the following medical societies: American College of Radiology, American Medical Association, American Roentgen Ray Society, American Society of Neuroradiology, Pennsylvania Medical Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

C Douglas Phillips, MD, Professor, Departments of Radiology, Neurosurgery, and Otolaryngology, University of Virginia Health Sciences Center
C Douglas Phillips, MD is a member of the following medical societies: American College of Radiology, American Medical Association, American Society of Head and Neck Radiology, American Society of Neuroradiology, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

L Gill Naul, MD, Professor and Head, Department of Radiology, Texas A&M University College of Medicine; Chair, Department of Radiology, Chief, Section of Magnetic Resonance Imaging, Scott and White Memorial Hospital and Clinic
L Gill Naul, MD is a member of the following medical societies: American College of Radiology, American Medical Association, American Roentgen Ray Society, Radiological Society of North America, and Texas Medical Association
Disclosure: Nothing to disclose.

 
 
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