35-year-old female with history of erosive sinusitis and Wegener's. Saddle nose.IMAGE ACQUISITIONS: Non-infused CT of the sinuses. Extensive bone destruction including the fovea ethmoidalis, ethmoid air cells, and medial wall and floor of the left orbit is again demonstrated, but not significantly changed in comparison with the previous exam. Thinning of the right lamina propecia also again noted. Complete opacification of the frontal, sphenoid and maxillary sinuses. Opacification of the remnant right maxillary sinus and right frontal sinus is slightly increased. Soft tissue extension to the orbit was noted previously and is again seen, with extension of granulation tissue and mass effect on the extraocular muscles. It does extend to the level of the inferior orbital foramen, although foramen has not changed in appearance since the previous exam to suggest further erosion. Extension through the fovea ethmoidalis as noted with a slight bulge superiorly could be evaluated with brain MRI clinically warranted.
Stable extensive erosive sinus disease. Extension into the left orbit and into the fovea ethmoidalis are stable findings.