Retro-orbital pain left greater than right. Postnasal drip. Bony density inferior exam is within normal limits. Small retention cysts within dependent portion of bilateral maxillary sinuses is noted. The ostiomeatal units of the maxillary sinuses are patent bilaterally. Small retention cyst within one of the right posterior ethmoid air cells. The rest of the paranasal sinuses are well pneumatized and unremarkable. Images through the orbit demonstrate normal appearing retro-orbital fat, extraocular musculature and optic nerves. Increased density in a linear fashion is noted overlapping the right upper quadrant of the right globe. There may be some increased density also within the right lacrimal gland. This finding may represent hemorrhage or heavy calcification. Please correlate with history and follow-up with an MRI examination.
1.Small retention cysts within the bilateral maxillary sinuses and right posterior ethmoid as detailed.2.Unremarkable suture paranasal sinuses otherwise.3.Patent bilateral ostiomeatal units the maxillary sinuses.4.Linear increased density overlapping the outer lateral quadrant of right globe which may represent calcification or blood product. Follow-up with an MRI is recommended.