85 Year-Old With Enlarging Growth On Right Side Of Nose

This is unpublished
CT axial soft tissue windows.
CT axial soft tissue windows
CT axial soft tissue windows.
CT axial soft tissue windows
CT axial bone windows.
CT axial bone windows
Coronal soft tissue windows.
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