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Age: 57

Sex: Female

Indication: Chronic sinusitis

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Case #37


Findings for this case

  • Enhancing right eccentric skull base mass measuring up to 3 cm involving the right sphenoid sinus, pterygopalatine fossa, vidian canal, and sphenopalatine foramen with enhancing soft tissue abutting the right carotid canal
  • T1 signal hypointensity and enhancement in the right pterygoid process
  • Enhancing mass in the left nasal cavity along the inferior turbinate measuring up to 1.7 cm
  • Enhancing mass centered near the left piriform aperture measuring up to 1.7 cm
  • Enhancing mass in the right nasolacrimal duct measuring up to 3.3 cm with associated dilation of the lacrimal sac


Images

Multiple enhancing mass involving the right skull base (red arrow), right nasolacrimal duct (yellow arrow), and left nasal cavity (blue arrows).

Diagnosis & Discussion

Diagnosis:

Rosai-Dorfman disease


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