Endgames
Spot Diagnosis
Chronic unilateral nasal congestion
BMJ 2018; 363 doi: https://doi.org/10.1136/bmj.k3971 (Published 24 October 2018) Cite this as: BMJ 2018;363:k3971
- Zhenxiao Huang, consultant otolaryngologist,
- Jingying Ma, consultant otolaryngologist,
- Bing Zhou, consultant rhinologist
- Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
- Correspondence to B Zhou entzhou{at}263.net
An 18 year old man was referred to the otolaryngology (head and neck surgery) department with persistent right sided nasal congestion for one year. He had used a nasal corticosteroid spray in the six months before presentation, but his symptoms had not improved.
At the otolaryngology department he underwent a non-contrast computed tomography scan of his sinuses (fig 1). What is the diagnosis?
Fig 1
Computed tomography scans of the sinuses (coronal planes)
Answer
Antrochoanal polyps (ACPs) in the right sinonasal cavity (fig 2).
Fig 2
Computed …
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