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

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

CT axial soft tissue windows

CT axial soft tissue windows

CT axial bone windows

Coronal soft tissue windows


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


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.


Submitted by John Rhee, MD, UW Neuroradiology Fellow