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Sinusitis and Epidural Abscess

A 33 year man present with frontal headaches and a purulent discharge from his nose.

Outline the Sinus Infection                      Show Where the Bone has Eroded

Axial (left and middle) and sagittal  (right) T1-weighted with gadolinium MRI scans. Note the prominent enhancement in the frontal sinus, and erosion of bone into the frontal lobes. Prompt surgical decompression and aspiration of the purulent material was required.

Revised 04/26/06.
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