Seeking Help to Understand My Sinus CT Scan Results
I am a 32-year-old female with a history of nasal surgeries, including a septoplasty, bilateral turbinate reduction, and a sinus balloon procedure conducted in July 2024. My current medications include Flonase, Singulair, Dupixent, and Claritin, and I also use Neilmed rinses with Xylitol as needed. Additionally, I have a revision surgery planned for April 24, 2025, and I have been diagnosed with Allergic Fungal Sinusitis, for which I receive allergy shots at level 3 out of 5. Furthermore, I have been diagnosed with Graves Disease and take 2.5 mg of methimazole each day. In reviewing my CT scan results, I am particularly puzzled by the statement regarding a "Post sellar variant of the left sphenoid sinus. No evidence of skull base dehiscence." Here are the details from my CT report: **Impression:** - There is extensive sinus disease present, characterized by total opacification of the left frontal, ethmoid, and maxillary sinuses. Notably, polypoid material has been observed throughout the left nasal cavity. - The right maxillary sinus also shows complete opacification, along with polypoid material adjacent to the right middle meatus. Additionally, there is significant opacification in the right frontal and sphenoid sinuses while the right ethmoid air cells remain relatively unaffected. **Findings:** - Evidence of previous surgeries including bilateral maxillary antrostomies and ethmoidectomies, likely indicating also sphenoidotomies. - The bilateral frontal, left ethmoid, and bilateral maxillary sinuses display complete to near-complete opacification, with only slight mucosal thickening noted in the right ethmoid sinus. - Significant opacification is present in the bilateral sphenoid sinuses, and fluid or debris can be found within the left frontal recess. - Moreover, fluid and debris are more prominent in the left than in the right sphenoid ostia. - Polypoid material is seen throughout the left nasal cavity, causing blockage of the remaining ostiomeatal unit, and there are indications of smaller polyps in the right nasal cavity. - The post sellar variance of the left sphenoid sinus has been noted without any signs of skull base dehiscence.
Answers (1)
3/21/2025, 11:30:43 AM
OpenHealth AI
Your CT scan results indicate significant sinus involvement, particularly with total opacification of various sinus cavities, which means that they are filled with fluid or other material, likely due to your history of Allergic Fungal Sinusitis. Let’s break down your main concerns and outline what to do next.
Key Points
- Extensive Sinus Disease: You have significant opacification and polypoid material in multiple sinus cavities, which suggests ongoing inflammation or infection.
- Post Sellar Variant of the Left Sphenoid Sinus: This refers to an anatomical variation in your sphenoid sinus that is typically not a direct concern unless there are complications, such as skull base issues, which your scan indicates there are none.
- Impacted Nasal Cavity: The findings suggest blockage, particularly on the left side, which might contribute to persistent symptoms.
Explanation
- Opacification means that the sinuses are filled with fluid, which is commonly seen in conditions like sinusitis.
- Polypoid material refers to growths or swelling in the nasal passages, often a result of chronic inflammation, and can obstruct air flow and drainage.
- The post sellar variant of the sphenoid sinus is just an anatomical variation; it typically doesn’t require treatment unless it leads to complications, which isn't indicated in your report.
Next Steps
-
Symptom Management: If you are experiencing symptoms (e.g., nasal congestion, facial pain), continue your current medications, especially nasal sprays like Flonase and rinses. Stay consistent with allergy management.
-
Monitor Symptoms: Keep track of any changes in your symptoms, particularly related to sinus pressure, headache, or changes in nasal discharge.
-
Consider Follow-up: Since you have a revision surgery planned, ensure that your ENT specialist is fully informed of these findings. They may adjust your treatment plan or recommend further interventions based on the scan and your symptoms.
-
Stay Sensitized: If new symptoms appear or if your current symptoms worsen (such as increased pain, fever, or vision changes), it may be essential to seek prompt medical advice.
-
Education: Discuss the details of your CT scan report further with your physician for clarity. Understanding how this relates to your overall health and planned surgery can be reassuring.
Reassurance
This situation can feel overwhelming, especially with your medical history and upcoming surgery. It’s important to focus on symptom management and to keep open lines of communication with your healthcare team. If you have any further questions or concerns, don’t hesitate to reach out for support.
Related Questions
17-Year-Old Female Experiencing Chronic Acne Scarring on Back and Arms Despite Prescription Remedies
Age: 17 Gender: Female Country of residence: United Kingdom Skin type: Dark / Black Medical background: No significant health issues Medications: Previously utilized azelaic acid and benzoyl peroxide Timeframe: Many months to years following acne resolution Greetings, I am a 17-year-old girl dealing with long-lasting scars on my back and upper arms from acne, which have not improved even after following prescribed treatments. In the past, I experienced acne primarily on my upper back, shoulders, and arms. While the active breakouts have largely ceased, I am left with noticeable dark spots and irregular skin texture. The scars I have include: • Dark brown hyperpigmentation • Certain areas appear slightly sunken • Uneven or coarse surface • No raised or keloid scars present My GP prescribed azelaic acid and benzoyl peroxide, which I applied regularly. Unfortunately, the azelaic acid did not significantly lighten the scars and seemed inadequate for the pigmentation level. Although benzoyl peroxide was effective against my active acne, it did not enhance the appearance of the scarring. The marks have been present for a considerable time and are quite stark against my skin tone. I do my best to avoid picking at my skin and maintain proper hygiene, yet the scars aren’t diminishing on their own, which is negatively impacting my self-esteem—especially when I wear sleeveless or backless outfits. Currently, I'm exploring the possibility of using retinoids like adapalene or tretinoin. However, I’m uncertain if these would be suitable or effective for treating scarring on my back and arms, particularly with my darker skin type. I would like guidance on the following questions: • Does this seem to be primarily post-inflammatory hyperpigmentation, atrophic acne scars, or possibly a combination of both? • Is azelaic acid effective for this type of scarring, or are more potent treatments generally required? • Are topical retinoids such as adapalene or tretinoin advisable for this sort of scarring? • What treatments are typically recommended for acne scars on the back and arms in individuals with darker skin tones? • Should I insist on a referral to a dermatologist, or is it better to attempt specific topical therapies first? Any insights or recommendations you could offer would be greatly appreciated.
Persistent Itching and Burning Around Neck and Scalp - Should I Keep Using Cephalexin?
Greetings, I’m a 35-year-old female. I recently developed a rash that began on the back of my neck and subsequently spread to my ears. After consulting with my physician, I was prescribed ketoconazole shampoo to address a suspected fungal rash. Despite using it diligently for four days, the condition actually aggravated, affecting my ears, the back of my neck, and my scalp more significantly. Seeking further assistance, I visited an urgent care facility where the medical staff suggested that I might be experiencing bacterial folliculitis. As a result, they prescribed cephalexin, which I am to take at a dosage of 500mg three times daily for a week. I took my first dose yesterday, yet the intense itching and burning sensations persist without improvement. Is it advisable for me to continue the medication? How long does it typically take to see improvement? Is it common to experience these symptoms alongside bacterial folliculitis? I appreciate your time and any guidance you can provide on this matter!
Concerns About Hearing Loss After Extended Earphone Use
For the past two and a half years, I have primarily relied on in-ear earphones, with the right one typically experiencing less usage—mostly for short videos or brief instances. Recently, during a singing session, I noticed something unusual. I covered one ear to monitor my pitch, and I was surprised to find that my hearing felt unclear and somewhat muffled. This was an experience I hadn’t recognized before. After conducting a few tests by alternately covering each ear, I discovered that my left ear can hear clearly and accurately, while my right ear perceives sounds as muffled, as if there’s a barrier in front of the speaker. I’m seeking advice as a 17-year-old student from Pune, India, with financial constraints that prevent me from adding stress to my parents. I’m deeply concerned whether this issue could be permanent, and if there’s any possibility of recovery. Although I can still hear sounds from my right ear when they are very close, I am unsure of the next steps. I have made the decision to discontinue using earphones starting today, but I’m wondering what additional measures I should take. Would it be advisable to pursue an audiometry test or consult an audiologist for a professional evaluation?
Dealing with Possible Epididymitis
A male, aged 40, standing at 5'9" and weighing 10.5 stone, presents a health concern. He has a history of smoking but refrains from alcohol consumption. For several years, I've grappled with a weakened bladder. However, over the last year or two, I've been experiencing intense discomfort in my right testicle. Initially, I thought I discerned a lump, prompting me to reach out to a physician. Unfortunately, the advice I received was limited; the doctor recommended an STI screening without conducting any examinations. I complied with the test, which returned negative results. Although the pain subsided briefly, it has now returned with greater intensity. I have undergone blood tests focusing on kidney, bladder, and prostate functions, all of which yielded normal results. Now, the medical team is leaning towards a diagnosis of epididymitis. The pain is excruciating and difficult to endure. I’ve scheduled an appointment for a prostate and testicular examination, which may lead to an ultrasound scan or possibly a urethral procedure to eliminate any serious underlying issues. The thought of the forthcoming examination fills me with anxiety, as I'm certain it will be painful. I'm curious if anyone has experienced epididymitis and what outcomes you faced, including any surgical interventions that may have been necessary.
Concerns Regarding Neck Pain After Lifting Incident
I’m a 27-year-old man, standing at 174 cm and weighing 63 kg, residing in Australia. Earlier today, I attempted to lift a heavy case using only one hand. Unfortunately, I didn't realize it was unlatched, and when it opened unexpectedly, I felt significant stress in my lower neck and upper shoulder area. Approximately four hours later, I began to experience a pulsating discomfort on the left side of my neck, extending from beneath my ear down towards my collarbone. I have a medical background of neurological issues related to my vision, along with episodes of facial drooping that are currently under investigation. After the initial neck discomfort (which subsided quickly), I noticed a resurgence of blurriness in my vision. Could this incident have caused an injury to my neck that might be aggravating my neurological symptoms? Is there a chance that this situation could be a vascular emergency?