A Case of Sphenoidal Meningoencephalocele Masquerading as an Isolated Sphenoid Mucocele

Isolated sphenoid sinus disease is often misdiagnosed because of its rarity and varing clinical presentation. A 51-year-old male visited the hospital with abnormal brain CT findings which showed homogenous opacification associated with sinus wall expansion on the right sphenoid sinus. Under the impression of isolated sphenoid mucocele, the fenestration of sphenoid sinus was conducted without surgical complication. But, cerebrospinal fluid rhinorrhea spontaneously developed 3 days after fenestration operation and then stopped by sealing the suspicious leakage site with free graft of inferior turbinate mucosa. Based on the pathological findings, paranasal sinus CT and MRI findings, this case is reported to be meningoencephalocele developed in sphenoid sinus.

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Sphenoid sinus ectopic pituitary adenomas: CT and MRI findings

British Journal of Radiology ◽

10.1259/bjr/76663418 ◽

2010 ◽

Vol 83 (987) ◽

pp. 218-224 ◽

Cited By ~ 22

Author(s):

B T Yang ◽

V F H Chong ◽

Z C Wang ◽

J F Xian ◽

Q H Chen

Keyword(s):

Pituitary Adenomas ◽

Sphenoid Sinus ◽

Mri Findings ◽

Ct And Mri

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Case Report of Hydatid Cyst in the Pulmonary Artery Uncommon Presentation: CT and MRI Findings

Case Reports in Radiology ◽

10.1155/2018/1301072 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4

Author(s):

Arwa Almutairi ◽

Sulaiman Al Rajhi

Keyword(s):

Pulmonary Artery ◽

Hydatid Cyst ◽

Hydatid Cysts ◽

Mri Findings ◽

Hepatic Hydatid Cyst ◽

Uncommon Presentation ◽

Right Pulmonary Artery ◽

History Of ◽

The Right ◽

Ct And Mri

Background. Hydatid cysts can be found in any organ. In adults, the liver and lungs are the most common locations; hydatid cysts in the pulmonary artery are rare.Clinical Case. We present the case of an 86-year-old female with a history of hepatic hydatid cyst since 2012, who presented with complaints of chronic productive cough, yellowish-green sputum, and dyspnea. CT and MRI showed multiseptate hydatid cysts in the right pulmonary artery.

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Primary Orbital Myxoid Liposarcoma: A Case Report and Review of Literature

Asian Journal of Medical Sciences ◽

10.3126/ajms.v4i4.8311 ◽

2013 ◽

Vol 4 (4) ◽

pp. 28-32

Author(s):

Chen Niu ◽

Netra Rana ◽

Zhi Gang Min ◽

Ming Zhang

Keyword(s):

Medical Science ◽

Myxoid Liposarcoma ◽

Soft Tissue Tumors ◽

Lower Limbs ◽

Mri Findings ◽

One Year ◽

The Right ◽

Ct And Mri

Liposarcomas are common malignant soft-tissue tumors, which come from primitive mesenchymal cells and differentiate into adipose tissue. These tumors are more commonly found in lower limbs and retroperitoneal region but also reported in pharynx, lung, liver, digestive tract, diaphragm, as well as in the spermatic cord. We reported a case of primary orbital myxoid liposarcoma in a 20-year-old female patient presented with a painless proptosis of the right eye. The mass was pathologically diagnosed as a myxoid liposarcoma. The tumor recurred in 9 months after surgical intervention. The second surgery was performed and followed by postoperative local radiotherapy. No recurrence has been reported after one year of follow-up. We highlighted the role of CT and MRI findings in the tumor diagnosis and the importance of local radiotherapy after surgery. Asian Journal of Medical Science, Volume-4 (2013), Pages 28-32 DOI: http://dx.doi.org/10.3126/ajms.v4i4.8311

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Isolated Sphenoid Sinus Disease- A Unique Case of Sphenoidal Mucocoele

Bengal Journal of Otolaryngology and Head Neck Surgery ◽

10.47210/bjohns.2018.v26i3.216 ◽

2018 ◽

Vol 26 (3) ◽

pp. 234-237

Author(s):

Tushar Kanti Ghosh ◽

Srijoy Gupta ◽

Pradeep Devineni

Keyword(s):

Sphenoid Sinus ◽

Nasal Discharge ◽

Rare Entity ◽

Unique Case ◽

Nasal Endoscope ◽

Sinus Disease ◽

Nasal Stuffiness ◽

Mri Scans ◽

History Of ◽

The Right

Introduction Isolated Sphenoid Sinusitis and sinus lesions is a rare entity accounting for just 1-3% of all Sinus afflictions. Most have occurred in men between the ages of 30 and 40 years. Case Report A case of right sphenoid sinus mucocele is reported in a male patient aged 68 years, with size of the lesion (35 x 34 mm) detected by CT & MRI scans. The patient presented with a 3 weeks history of unilateral ptosis, diplopia, and photophobia. He also complained of bilateral nasal obstruction, nasal stuffiness, and a mucoid nasal discharge. Endoscopic decompression of the right sphenoid sinus was performed, and approximately 160 ml of thick, sterile mucoid secretion was aspirated. Despite the size of the mucocele, no significant destruction of the sphenoid walls was evident. Postoperatively within 15 days the patient's symptoms improved significantly. Conclusion The Nasal Endoscope has revolutionised sphenoid sinus mucocele treatment. An adequate sphenoidotomy and drainage give excellent results.

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CT and MRI findings of sphenoid sinus internal carotid artery pseudoaneurysm: An important and challenging differential diagnosis for a skull base mass

Clinical Radiology ◽

10.1016/j.crad.2011.12.009 ◽

2012 ◽

Vol 67 (8) ◽

pp. 815-820 ◽

Cited By ~ 3

Author(s):

R.R. Saket ◽

S.W. Hetts ◽

J.K. Tatum ◽

C.M. Glastonbury

Keyword(s):

Differential Diagnosis ◽

Carotid Artery ◽

Internal Carotid Artery ◽

Skull Base ◽

Sphenoid Sinus ◽

Internal Carotid ◽

Mri Findings ◽

Artery Pseudoaneurysm ◽

Ct And Mri

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Incidental Sphenoid Sinus Opacification on Cone Beam Datasets

Journal of Biomedical Engineering and Medical Imaging ◽

10.14738/jbemi.75.9130 ◽

2020 ◽

Vol 7 (5) ◽

pp. 11-18

Author(s):

Remy Head ◽

David ◽

Paul Mansour

Keyword(s):

Sphenoid Sinus ◽

Legal Responsibility ◽

Cone Beam ◽

Dental Practice ◽

Treatment Needs ◽

Sinus Disease ◽

Radiology Practice ◽

Sinus Wall ◽

Practice Assessment ◽

Paranasal Sinus Disease

Background: The purpose of this study was to investigate the varying presentations of sphenoid sinus opacification on cone beam datasets. Further, this paper will provide guidance to dentists regarding potential referral pathways and treatment needs. Methods: Fifty cone beam datasets were selected from 3704 cases referred to a private radiology practice. Assessment of the extent and severity of paranasal sinus disease was based on the Lund-Mackay scoring system. The presence of sclerosis, calcification and mucous in relation to the sphenoid sinus was also recorded. Results: The incidence of isolated sphenoid opacification in this population is approximately 0.49%. Sphenoid opacification was associated with opacification of the ipsilateral posterior ethmoids (p = 0.036). Sclerosis, calcification and mucous were present in 78%, 12% and 36% of cases, respectively. Conclusions: Dentists have a medico-legal responsibility for the assessment of all imaging performed in the dental practice, including cone beam datasets. An understanding of key symptoms and radiographic features helps dentists triage appropriately the referral of patients with sphenoid sinus disease. Urgent assessment is mandated by the presence of destruction/erosion of any sinus wall or the presence of an obvious or expansile mass.

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An Unusual Case of Ascending Pancreatitis with Mediastinal Involvement: A Case Report with CT and MRI Findings

Case Reports in Radiology ◽

10.1155/2014/925105 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6

Author(s):

Ernesto Di Cesare ◽

Alessandra Di Sibio ◽

Antonio Gennarelli ◽

Valentina Felli ◽

Valentina Vellucci ◽

...

Keyword(s):

Laboratory Tests ◽

Unusual Case ◽

Greater Omentum ◽

Mri Findings ◽

Gradual Improvement ◽

Laboratory Results ◽

Mediastinal Involvement ◽

Fluid Collections ◽

The Right ◽

Ct And Mri

Fluid collections are common findings of pancreatitis and spread, more often, along preferential drainage pathways in the abdomen. In some rare cases, fluid collections may spread towards extra-abdominal sites like the mediastinum leading to the formation of mediastinal collections. We present the case of a 52-years-old man with pain in the right upper quadrant of the abdomen and mid-epigastrium lasting for some hours. Laboratory tests suggested a diagnosis of pancreatitis. CT and subsequent MRI revealed changes consistent with acute exacerbation on chronic pancreatitis spreading to the mediastinum and to the greater omentum. The patient received medical treatment and reported gradual improvement in his laboratory results and CT findings.

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A Case of Chronic Invasive Actinomycosis in the Nasal Cavity

Journal of Rhinology ◽

10.18787/jr.2020.00308 ◽

2020 ◽

Vol 27 (1) ◽

pp. 58-62

Author(s):

Dong Hyun Kim ◽

Tae Kyu Kang ◽

Seon Tae Kim

Keyword(s):

Sphenoid Sinus ◽

Nasal Congestion ◽

Organ Damage ◽

Multiple Organ ◽

Tissue Removal ◽

Orbital Tissue ◽

The Right ◽

Incision Drainage ◽

Chronic Invasive ◽

Ct And Mri

A 57-year-old male patient with nasal congestion and nasal congestion, which occurred 1 month prior to the hospital visited. PNS CT and MRI was performed and revealed right orbital cellulitis, sinusitis and brain abcess. Surgical drainage was determined by rhinology, ophthalmology and neurosurgery. The right sphenoid sinus was identified as an open mucosal mucosa, and blackish mucosa was found on the right sphenoid sinus. Eucleation was performed. Infected orbital tissue removal and orbital abscess drainage were performed. Neurosurgery performed dura incision, drainage and removal of a large amount of abscess pattern, and duroplasty with artificial dura. Actinomyces odontolyti was identified by pus culture, and postoperative antibiotic treatment and dressing were performed, but infection aggravation persisted, resulting in deterioration of general condition, multiple organ damage, and cerebral infarction.

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