CT PNS (Paranasal Sinuses) - Analysis Summary

FINDINGS

1. Nasal Septum

• There is a deviated nasal septum (DNS) to the right side, visible across multiple axial slices. A small bony spur is likely associated with the deviation.
• This causes narrowing of the right nasal airway.

2. Turbinates

• Left middle turbinate: There is evidence of a Concha Bullosa (pneumatized/air-filled middle turbinate) on the left side. This is a common anatomical variant but can narrow the left middle meatus and potentially obstruct sinus drainage.
• Right inferior/middle turbinate: Appears relatively hypertrophied, compounded by the septal deviation pushing towards it.

3. Maxillary Sinuses

• Right maxillary sinus: Largely well-aerated. A small, smooth, dome-shaped soft tissue density is seen along one wall, consistent with a mucous retention cyst or small polyp. No complete opacification.
• Left maxillary sinus: Mostly clear, with possibly minor mucosal thickening along the medial wall at lower levels. No significant fluid level identified.

4. Ethmoid Air Cells

• The visible ethmoid air cells (anterior and posterior) appear largely clear and well-pneumatized across the reviewed axial slices.
• No gross opacification of ethmoid cells noted.

5. Sphenoid Sinus

• Both sphenoid sinus compartments appear well-aerated (clear) without fluid levels or significant mucosal thickening.

6. Frontal Sinuses

• Not clearly visualized on the provided axial slices shown. Coronal slices would be needed for full assessment.

7. Bone

• No bone erosion, destruction, or aggressive lytic lesion is visible on the reviewed slices.
• Bony sinus walls appear intact.

IMPRESSION (Provisional - AI-assisted)

Clinical Significance & Recommendations

1. DNS + Concha Bullosa together can cause nasal obstruction, recurrent sinusitis, and headaches. If symptomatic, septoplasty and/or concha bullosa marsupialization may be considered.
2. The small retention cyst in the right maxillary sinus is usually benign and often incidental - it typically does not require treatment unless symptomatic or enlarging.
3. No evidence of gross sinusitis, aggressive mass, or mucocele on the reviewed axial slices, but a complete review of all coronal slices by a qualified radiologist is needed for definitive assessment of the osteomeatal complexes and frontal sinuses.
4. Clinical correlation with symptoms (nasal blockage, facial pain, post-nasal drip) is essential.

Please obtain the official written radiology report from the radiologist at KIMS Hospital and follow up with an ENT specialist for definitive management.