A 45-year-old male with history of nasal blockade for 6 months. On examination, the patient had a nasal mass with mucin discharge. What is the probable diagnosis based on the CT scan:
Antrochoanal polyp
Ethmoidal polyp
Maxillary carcinoma
Allergic fungal sinusitis
(d) Allergic fungal sinusitis(Ref. Cummings, 6th ed., 736)The NCCT shows haziness of the left maxillary sinus and mass in the left nasal cavity without any bony erosion.Fungal sinusitis presents as U/L nasal mass (ployp) with mucinous discharge in adults. Antrochoanal polyp is seen in young as U/L nasal mass, patient presents here mainly with nasal obstruction, discharge if at all present is purulent and not mucinous. Ethmoidal polyps are B/L. Maxillary carcinoma is U/L nasal mass, presenting with blood tinged nasal discharge, CT here shows bony erosion.
Nose and PNS