Greetings,
Not a doctor, not even close but basically I am trying to decode this report to figure out .
1. If it's a cancer.
2. If it's treatable
3. How life threatening it is
4. If an urgent surgery is required.
5. Is there a medial therapy available to treat this
6. Could it be caused by 2nd Handing Smoking
It's a report by a doctor. The patient also have breathing issues.
_________________________
Area Exam: CT Brain, Orbit and Paranasal Sinuses (Plain)
45 years - Female.
CT Scan of the Brain, Orbit and Paranasal Sinuses was Performed without I/V contrast
Comparison was made with the previous examination two years ago.
Changes of turbinectomy and ethmoidectomies noted on left side. An aggressive soft tissue mass seen extending in the left nasal cavity from anterior ethmoidal air cells (agger nasi) to sphenold sinuses. Bone dehiscence noted around the mass involving the lamina papyracea and entire medial orbital wall upto apex from where it is protruding into the orbit buckling the medial rectus muscle and causing proptosis. Cribriform plate, paramedia floor of anterior cranial fossa and high posterior nasal septum also show areas of bone dehiscence. Both sphenoid sinuses are opacified with bone defects in their lateral walls. Left Frontal mucocele and circumferential mucosal thickening in left maxillary sinus noted.
Right osteomeatal complex in patent. Retention cyst/ polyp involving the lower half of right maxillary sinus. Right frontal and anterior ethmoidal air cells are aerated. Few of the right posterior ethmoidal cells show circumferential muscosal thickening and soft tissue mass extensions through nasal septum into right posterior cavity
also noted. Mild anterior deflections of nasal septum towards left. Post-nasal space is normal. Right orbit is normal as well.
An incidental note is made of left paramedian white matter hypodensity in frontal lobe.
Conclusion: ( by doctor)
1. Aggressive soft tissue mass in left nasal cavity with adjacent bone destruction. Interval increase in size of soft tissue and post-obstructive changes.
2. Left Paramedia whiter matter hypodensity in frontal lobe.
3. Histopathologic correlation and further evaluation wtih contrast enhanced MRI of brain/face are suggested.
____________________
Using Wikipedia and other sources I did however understand that its something to do with some kind of ballon like expansion behind the eyes that is growing and causing effects on other parts.
Thank you.