I have enlarged tonsils with bilateral deep cervical lymphodenopathy and been suffering of neck and shoulder and upper maxillary pain for a year and pain all over my head and ears that never goes away and also I feel my head is so heavy with sounds of like the skull is breaking and extracted all my teeth starting from wisdom molars and I made endoscopy and they said there is an adenoid at the nasopharynx wall but when I made a nose CT these are the results: 1. Polypoidal mucosal thickening is seen involving left and to less extent right maxillary sinuses encroaching on their alveolar recesses. 2. Mild ethmoidal sinus mucosal thickening is also noted. 3. Otherwise, no other paranasal sinuses abnormality could be detected with preserved bony outline and osteomeatal complexes. 4. S shaped deviated nasal septum is also seen. 5. The nasopharynx looks normal.