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CT Orbits

Exam: Helical CT was performed through the level of the orbits after the uneventful administration of IV iodinated contrast. Coronal and sagittal reformations were performed. Findings: There is no evidence of orbital or facial bone fracture. The globes are intact and symmetric bilaterally. There is no evidence of a pre- or post septal inflammatory process. The extraocular muscles are symmetric bilaterally. An air-fluid level is noted in the left maxillary sinus. There is hyperdense opacification of the right maxillary sinus extending into the ostiomeatal complex. There is thickening of the posterior wall of the right maxillary sinus. The frontal, ethmoidal and sphenoid sinuses are clear. The portions of the brain and skull base are unremarkable. Demonstrated vascular structures appear normal. Impression: 1. No evidence of a left post septal mass or inflammatory process. 2. Acute on chronic sinusitis, worst in the right maxillary sinus. The hyperdense secretions suggest fungal elements and/or inspissated secretions.