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What Does Sphenoid Sinus Showing Mucosal Thickening With Retention Cyst Indicate?

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Posted on Tue, 22 Apr 2014
Question: Sphenoid sinus show mucosal thickening with retention cyst. Mucosal thickening in bilateral maxillary and ethmoid sinuses. All other things in the report are normal. This is what my brain mri report said finally. I am 54 years old. I also have diabetes type 2
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Answered by Dr. Sumit Bhatti (1 hour later)
Brief Answer: As below: Detailed Answer: Hi, Thank you for your query. 1. If you can upload a few MRI images, I will be able to give you a better assessment. 2. Ideally, a plain CT (PNS) with 1 mm coronal, axial and saggital cuts will give additional information since bone is invisible in an MRI. I would consider a contrast CT, however, since the creatinine level is raised (1.1), if should not be done at present. 3. The optic nerves are related to the roof of the Sphenoid Sinus and in some patients with an Onodi type posterior ethmoid cells. As the complaint mentioned on the Brain MRI report is double vision, it is better to investigate this area further. 4. Isolated Sinus involvement may also be fungal, which I have found in many patients with Diabetes. If all else is normal, a limited FESS with biopsy and drainage of the retention cyst may help improve vision. Balloon Sinuplasty is also a newer option. 5. The raised ESR signifies a chronic process. It may be due to the sinus disease or the chest (thorax) findings. The cause of the chest findings is not known at present, but it is unlikely to cause visual problems. I hope that I have answered your query. If you have any further questions, I will be available to answer them. Regards.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2686 Questions

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What Does Sphenoid Sinus Showing Mucosal Thickening With Retention Cyst Indicate?

Brief Answer: As below: Detailed Answer: Hi, Thank you for your query. 1. If you can upload a few MRI images, I will be able to give you a better assessment. 2. Ideally, a plain CT (PNS) with 1 mm coronal, axial and saggital cuts will give additional information since bone is invisible in an MRI. I would consider a contrast CT, however, since the creatinine level is raised (1.1), if should not be done at present. 3. The optic nerves are related to the roof of the Sphenoid Sinus and in some patients with an Onodi type posterior ethmoid cells. As the complaint mentioned on the Brain MRI report is double vision, it is better to investigate this area further. 4. Isolated Sinus involvement may also be fungal, which I have found in many patients with Diabetes. If all else is normal, a limited FESS with biopsy and drainage of the retention cyst may help improve vision. Balloon Sinuplasty is also a newer option. 5. The raised ESR signifies a chronic process. It may be due to the sinus disease or the chest (thorax) findings. The cause of the chest findings is not known at present, but it is unlikely to cause visual problems. I hope that I have answered your query. If you have any further questions, I will be available to answer them. Regards.