47-year-old male with Sjogren's and left orbital mass. Please evaluate interval change. Also has history of sinus disease, frontal sinus retention cyst. Stable postsurgical changes are seen in the left frontal sinus. Stable soft tissue density in the left frontal sinus which again most likely represents a mucous retention cyst versus a polyp. There is increased mucoperiosteal thickening in the ethmoid air cells. Significant mucoperiosteal thickening and retention cyst or polyp formation within the left maxillary sinus. The right exercise also contains a retention cyst or polyp. Ostiomeatal units appear occluded bilaterally. Stable mild nasal septal deviation towards the right. Bilateral orbits are within normal limits. Specifically, no evidence of orbital masses. The left lacrimal gland appears minimally enlarged compared to the right. MRI of the orbits could be obtained if concern for orbital pathology remains.
Increased ethmoid sinus disease with occluded ostiomeatal units bilaterally. No evidence of orbital mass.