Question of the Week - September 2021

 

September 15th, 2021

A 26-year-old male presents for a follow-up visit due to right-sided nasal discharge, obstruction, headache, and facial pain and pressure for the past 2 years, unresponsive to nasal saline, corticosteroids, antibiotics, and allergy medications. Upon review of charts, the patient is a nonsmoker and otherwise healthy without any comorbidities, including diabetes, asthma, GERD, and autoimmune diseases. His CT scan is shown below. Which of the following abnormalities is most likely causing this patient's symptoms?

A. Nasal polyp
B. Juvenile nasopharyngeal angiofibroma
C. Inverting papilloma
D. Concha bullosa
E. Meningoencephalocele