85 year-old with enlarging growth on right side of nose.
CT axial soft tissue windows
CT axial bone windows and coronal soft tissue windows
Findings:
Soft tissue mass extending from nasal cavity and ethmoid sinus into nose with bony remodeling
DDX:
squamous
cell carcinoma, the minor salivary gland tumour, adenoid cystic
carcinoma, adenocarcinoma, melanoma, lymphoma, inverting papilloma, and
juvenile nasal angiofibroma (if young male)
Diagnosis:
Non-Hodgkin’s Lymphoma
Discussion:
The
radiographic features in this case are relatively nonspecific, but the
less aggressive features (lack of frank bony destruction), patient age,
and relatively high density on noncontrast CT.
Submitted by John Rhee, MD, UW Neuroradiology Fellow
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