hello and welcome to HCM, The bold letters in the x ray reports mean nothing much unless there is a mass or a fungus involved You should remember that this picture can also be seen in a case of mild cold or respiratory infection also so a single x ray study is not conclusive. As far as your report is concerned it means that you have features suggestive of sinusitis or infection or inflammations of the sinuses especially the maxillary (these sinuses lie beside the nose) A high eosinophil count means that she also has allergy The most important factor to consider is your own symptoms which prompted the ENT to perform the x ray. If you are having persistent headache and nose block and heaviness which are severe and which are recurrent then you must definitely get a CT scan done to confirm the sinusitis and also to assess the severity of the sinusitis You can also do steam inhalation to clear out the sinuses If you do not have any symptoms and the X ray and blood test was just a part of routine assessment then you do not have to bother much about the findings any more doubts you can get back to me take care Dr Sriram Nathan