DOI: 10.1148/radiol.2311011863
(Radiology 2004;231:50-51.)
© RSNA, 2004
Case 731
Bernadette L. Koch, MD
1 From the Department of Radiology, Cincinnati Childrens Hospital Medical Center, 3333 Burnet Ave, ML# 5031, Cincinnati, OH 45229-3039. Received November 21, 2001; revision requested February 1, 2002; revision received February 26, 2003; accepted April 14. Address correspondence to the author (e-mail: koch.bl@cchmc.org).
Index terms: Diagnosis Please
 |
HISTORY
|
|---|
An infant presented with a nasal obstruction. The clinicians were unable to pass a nasoenteric tube via the left nares. For further assessment of the nasal obstruction, the infant underwent computed tomography (CT) (Figure) that extended from the lower aspect of the orbits through the nasal cavity.

View larger version (102K):
[in this window]
[in a new window]
[Download PPT slide]
|
Figure a. (a) Transverse nonenhanced CT scan obtained through the midnasal passage. (b) Coronal nonenhanced reconstruction image obtained through the inferior meatus. (c) Transverse nonenhanced CT scan obtained through the upper nasal passage. (d) Transverse nonenhanced CT scan obtained through the lower orbits.
|
|

View larger version (107K):
[in this window]
[in a new window]
[Download PPT slide]
|
Figure b. (a) Transverse nonenhanced CT scan obtained through the midnasal passage. (b) Coronal nonenhanced reconstruction image obtained through the inferior meatus. (c) Transverse nonenhanced CT scan obtained through the upper nasal passage. (d) Transverse nonenhanced CT scan obtained through the lower orbits.
|
|

View larger version (105K):
[in this window]
[in a new window]
[Download PPT slide]
|
Figure c. (a) Transverse nonenhanced CT scan obtained through the midnasal passage. (b) Coronal nonenhanced reconstruction image obtained through the inferior meatus. (c) Transverse nonenhanced CT scan obtained through the upper nasal passage. (d) Transverse nonenhanced CT scan obtained through the lower orbits.
|
|

View larger version (110K):
[in this window]
[in a new window]
[Download PPT slide]
|
Figure d. (a) Transverse nonenhanced CT scan obtained through the midnasal passage. (b) Coronal nonenhanced reconstruction image obtained through the inferior meatus. (c) Transverse nonenhanced CT scan obtained through the upper nasal passage. (d) Transverse nonenhanced CT scan obtained through the lower orbits.
|
|
 |
FOOTNOTES
|
|---|
E-mail the most likely diagnosis to dxplease@rsna.org (use only for submission of diagnosis). Include case number, your name (as you would want it to appear in the journal), address, phone and fax numbers. Only one case, one name, and one diagnosis per e-mail submission. Multiple diagnoses, multiple submissions, submissions without a case number will not be considered. Deadline: Midnight U.S. Central Time, June 15, 2004. Answer will appear in the August issue. Authors wishing to submit cases for Diagnosis Please should first write to the Editor to obtain approval for the case and further information.