Diagnostic and Interventional Radiology
Head and Neck Imaging - Pictorial Essay

The many faces of fungal disease of the paranasal sinuses: CT and MRI findings

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Department of Radiology, University of Washington School of Medicine, Seattle, Washington, USA

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Departments of Radiology, Gülhane Military Medical School, Ankara, Turkey

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Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

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Department of Otolaryngology, Head and Neck Surgery, Gülhane Military Medical School, Ankara, Turkey

Diagn Interv Radiol 2013; 19: 195-200
DOI: 10.5152/dir.2012.003
Read: 661 Downloads: 416 Published: 03 September 2019

Abstract

The prevalence of fungal rhinosinusitis has increased worldwide over the last two decades. Fungal rhinosinusitis includes a wide variety of infections, from relatively innocent to rapidly fatal processes. Fungal infection may be one of the most challenging forms of sinonasal pathology to manage, especially the invasive forms, which have high mortality rates. Therefore, it is essential to correctly diagnose and classify fungal disease of paranasal sinuses in order to accurately predict prognosis and implement effective therapy. This essay describes the different manifestations of fungal sinusitis on computed tomography and magnetic resonance imaging to optimize differentiation, and includes correlation with the pathologic classifications.

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EISSN 1305-3612