CT PARANASAL SINUSES AND CHEST



INDICATION

Sinus evaluation.
Follow-up of a 4 mm micronodule of the right upper lobe..



TECHNIQUE

Helical acquisition without contrast.



FINDINGS

Sinuses:

Congenital hypoplasia of the paranasal sinuses with agenesis of the frontal sinuses.
No nasal septal deviation.
Good aeration of the paranasal sinuses and mastoid air cells.
No mucosal thickening or visible air-fluid level.
No dental material visualized in the floors of the maxillary sinuses.
Sphenoid ostia are patent. Maxillary infundibula are patent.
No periapical odontogenic disease identified.
No dehiscence of the cribriform plate of the ethmoid.
No visible carotid canal protrusion.

Chest:
Stable nonspecific micronodule of the right upper lobe (4.4 mm).
Presence of a few other nonspecific micronodules less than 4 mm, particularly in the right lower lobe.
Stable right posterobasal ground-glass focus.
Stable early centrilobular emphysema predominant at the apices.
No lymphadenopathy of significant size.
Normal appearance of the proximal tracheobronchial tree.
No pleural or pericardial effusion.
No abnormal density across all pulmonary segments.
No proximal or distal bronchial dilatation.



IMPRESSION

Congenital hypoplasia of the paranasal sinus cavities of the face.
Stable micronodules with no progressive lesion detected.



Dr. [NAME]
