Did A Quick Nasal Smear. Opacified Ethmoid Cell May Not Be Pressing Lamina Papyracea. What Is This Bizarre Thing?
Question: I did a quick nasal smear this evening and found something bizarre. Amongst all the white blood cells and mucus is something for which I have no explanation. I'm reminded of gently telling my students that what they are looking at is an air bubble, not a cell. Surely there must be some such explanation!
I have an opacified ethmoid cell that may - or may not - be pressing on the lamina papyracea, and may - or may not - be causing my newly-acquired strabismus. Five radiologists don't agree on whether or not the bone is intact, and the possibility of a fungal infection was brought up again. That is why I did the smear - along with the fact that it started hurting today. I have no idea if what I captured in the microscope is drainage from The Thing, but I thought it was worth a try.
I'm seeing an ENT and have also been referred to an oculoplastic surgeon. So my only question is: what is this bizarre thing? Some sort of artifact?
My training is in cell and molecular biology. I've never studied microbiology or histology.
I just discovered that this service doesn't include pathologists.I figured I'd give XXXXXXX med a try, although I think it's a long shot. I don't mind if you are amused and have no answer.
Pictures now attached.
The large micrographs were at 1000X, stained with methylene blue. The smaller one was at 400X.
I have an opacified ethmoid cell that may - or may not - be pressing on the lamina papyracea, and may - or may not - be causing my newly-acquired strabismus. Five radiologists don't agree on whether or not the bone is intact, and the possibility of a fungal infection was brought up again. That is why I did the smear - along with the fact that it started hurting today. I have no idea if what I captured in the microscope is drainage from The Thing, but I thought it was worth a try.
I'm seeing an ENT and have also been referred to an oculoplastic surgeon. So my only question is: what is this bizarre thing? Some sort of artifact?
My training is in cell and molecular biology. I've never studied microbiology or histology.
I just discovered that this service doesn't include pathologists.I figured I'd give XXXXXXX med a try, although I think it's a long shot. I don't mind if you are amused and have no answer.
Pictures now attached.
The large micrographs were at 1000X, stained with methylene blue. The smaller one was at 400X.
Brief Answer:
Mast Cell. Normal finding.
Detailed Answer:
Hi,
Thank you for your query.
1. The cell in the image seems to be a Mast Cell.
2. Mast cells are normally present in the nasal secretions and play an important role in allergy and immunity.
3. A pathologist's opinion would be the final confirmation.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Mast Cell. Normal finding.
Detailed Answer:
Hi,
Thank you for your query.
1. The cell in the image seems to be a Mast Cell.
2. Mast cells are normally present in the nasal secretions and play an important role in allergy and immunity.
3. A pathologist's opinion would be the final confirmation.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar