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Hello! I’m Attaching An Image Of A Panoramic X-ray Which

Posted on Sat, 22 Dec 2018

Question: Hello! I’m attaching an image of a panoramic X-ray which my dentist recently took, along with a copy of a CT scan report of my maxillofacial structures. As you will see, the CT scan report references a soft tissue nodule in my left nasal vestibule, and said it could be thickened excretions or a polyp. I visited an ENT and she thought it could be an inverting papilloma, and she referred me to an ENT surgeon whom I am seeing tomorrow for further evaluation. I was wondering....in the panoramic X-ray, what exactly is the area I have circled? Is the whitish area in the left area of my nose the nodule which the CT scan report references, or is it something else? Does it appear concerning? Thank you!!

Answered by Dr. Dr. Rajat Basak (35 hours later)

Brief Answer:
Hii.Hope you are doing well. Are you having any nasal symptoms like sneezin

Detailed Answer:
Hii.Hope you are doing well. Are you having any nasal symptoms like sneezing, running nose, headache,nasal obstruction. I have seen the X ray OPG. It is inconclusive to come to a diagnosis. Can u please send the CT Scan films? It is always better to see the films before coming to a diagnosis. You need to consult an ENT surgeon in the meantime so that a nasal endoscopy can be done. You can start taking fluticasone nasal spray and system inhalation. Please review with film.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Rajat Basak (9 hours later)

Hi Dr. Basak...thank you for your reply! Unfortunately I do not have the CT scan films for you, but I did visit with an ENT surgeon yesterday, and he took a biopsy of the area in question. He stated that it appears benign and that he believes it is a papilloma, most likely caused by a virus or prior trauma to the area, and that it does not appear to be the inverting type of papilloma. Depending upon the pathology reports he may remove more of it or do nothing. Thank you again for your input!

Answered by Dr. Dr. Rajat Basak (34 minutes later)

Brief Answer:
Hii. Hope you are doing well. May be the lesion is involving the nasal cavi

Detailed Answer:
Hii. Hope you are doing well. May be the lesion is involving the nasal cavity or the floor and probably not sphenoid sinus. Please wait for the biopsy report and revert us with final report. Get well soon.

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. Prasad