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ORIGINAL ARTICLE Clinical and Radiologic Features of Fungal Diseases of the Paranasal Sinuses Ahmet Turan Ilica, MD, Mahmud Mossa-Basha, MD, Fernando Maluf, MD, Izlem Izbudak, MD, and Nafi Aygun, MD were reviewed, and demographic and clinical data were recorded. Objective: To document the clinical and imaging characteristics of Imaging data, including computed tomography (CT) and/or mag- fungal rhinosinusitis (FRS). netic resonance imaging (MRI), were retrieved from our picture Methods: Imaging studies of 28 patients with FRS were retrospectively archiving and communication system and were retrospectively analyzed, considering the type of fungal disease, location, signal char- analyzed. An institutional review board reviewed and approved acteristics, bone changes, expansion, and extrasinus extension. the protocol for this retrospective study and waived the require- Results: Acute invasive FRS showed unilateral pacifications of the sino- ment for informed consent. nasal cavity, perisinus fat infiltration and/or bone destruction. Chronic in- The CT examinations were obtained on different multide- vasive FRS demonstrated masslike hyperattenuating soft tissue, with bony tector CT scanners, including 4-, 16- and 64-row detectors. Axial destruction. The soft tissue changes were hypointense on T1 and markedly and coronal CT sections were obtained through the maxillofacial hypointense on T2-weighted images. In allergic FRS, hyperattenuating
Journal of Computer Assisted Tomography – Wolters Kluwer Health
Published: Sep 1, 2012
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