CHRONIC SINUSITIS

XRAY Waters Position, Parietoacanthial projection. http://www.ghorayeb.com/ImagingMaxillarySinusitis.html

Coronal CT, Bone Window. Ethmoid and Maxillary sinusitis with deviated septum. (I'm thinking it is bone window because of the detail of the bone, yet there is soft tissue differences also. http://homepage.mac.com/changcy/sinusitis.htm

Coronal CT Soft Tissue Window, normal sinuses. There doesn't appear to be any bony detail. http://homepage.mac.com/changcy/sinusitis.htm

Xray (I believe it is the open-mouth Waters PA axial transoral projection). With only a thin bone separating the sinuses from the brain, the infection could pass through the bone and infect the meninges and/or the brain itself. The infection could also spread to the orbits with a potential to cause blindness. In addition, another rare but possible outcome would be aneurysms or blood clots which have the potential to be fatal. http://www.webmd.com/allergies/sinus-pain-pressure-9/slideshow-sinusitis

Color enhanced MRI. The blue areas are thickened mucosal surfaces in both maxillary sinuses. Ironically, 32 MILLION PEOPLE (the same number as citizens in the U.S. without health care coverage) are affected by sinusitis. http://www.webmd.com/allergies/sinus-pain-pressure-9/slideshow-sinusitis

CT Coronal Bone Window http://www.webmd.com/allergies/sinus-pain-pressure-9/slideshow-sinusitis

Pain areas of Sinusitis, including upper teeth http://www.webmd.com/allergies/sinus-pain-pressure-9/slideshow-sinusitis

Nasal Polyps http://www.webmd.com/allergies/sinus-pain-pressure-9/slideshow-sinusitis

Eighty percent of the time yellow or green mucus indicates a bacterial or viral infection http://www.webmd.com/allergies/sinus-pain-pressure-9/slideshow-sinusitis

Chronic Sinusitis is inflamation of the sinuses that lasts months (about three) to years. When the sinuses are obstructed mucus and on occasion pus builds up in the sinuses. This leads to pressure and pain.

Causes include:

allergies

polyps

nasal fractures

viral or bacterial infection

Symptoms include:
pain and pressure in forehead, nose, between the eyes, in the cheek, and or teeth

also congestion, postnasal drip, bad breath, fever, and thck nasal discharge

Diagnosis:

fever, tenderness in face in sinus areas, inflammation and mucus in nose and throat,

nasal polyps, deviated septum, enlarged lymph nodes are all indicative of sinusitis.

Sometimes an allergy test is performed to see if allergies are the culprit. CT & or MRI (usually

CT) of the sinuses will indicate whether there is structural blockage or not.

http://www.intelihealth.com/IH/ihtIH/WS/9339/10414.html?b=