85 year-old with enlarging growth on right side of nose

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Findings:

Soft tissue mass extending from nasal cavity and ethmoid sinus into nose with bony remodeling

DDX:

squamous cell carcinoma, the minor salivary gland tumour, adenoid cystic carcinoma, adenocarcinoma, melanoma, lymphoma, inverting papilloma, and juvenile nasal angiofibroma (if young male

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Diagnosis:

Non-Hodgkin’s Lymphoma

Discussion:

The radiographic features in this case are relatively nonspecific, but the less aggressive features (lack of frank bony destruction), patient age, and relatively high density on noncontrast CT.

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Submitted by John Rhee, MD, UW Neuroradiology Fellow