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患者男,18岁。因间断性左颞侧头痛15天入院。体检:双侧鼻腔黏膜充血,表面可见少量白色黏稠分泌物,双侧下鼻甲稍显肥大,鼻中隔左侧偏曲。CT:以左侧筛窦为中心,于左侧筛窦、鼻腔、鼻后孔及左侧眶尖、翼腭窝区域可见软组织团块影,相邻多处骨质变薄欠连续,该病变略向左侧上颌窦凸入(图1)。MRI:左侧后组筛窦、翼腭窝区、眶尖、眶下裂及海绵窦
Patient male, 18 years old. Intermittent left temporal headache due to 15 days admission. Physical examination: bilateral nasal mucosal congestion, the surface can be seen a small amount of white viscous secretions, bilateral turbinate slightly hypertrophy, deviation of the left nasal septum deviation. CT: the left ethmoid sinus as the center of the left ethmoid, nasal cavity, nasal posterior orifice and the left orbital apex, pterygopalatine fossa visible soft tissue mass, adjacent to multiple bone thinning less continuous, the lesion Slightly convex to the left maxillary sinus (Figure 1). MRI: left posterior ethmoid, pterygopalatine fossa, orbital apex, infraorbital fissure and cavernous sinus