Monday, October 20, 2014

Anosmia

A young man with difficulty smelling presents because his sense of smell has changed. He's "worried about a tumor." He also has nasal congestion, sinus fullness, and fatigue. He has no fever or pain. Exam of his nostrils shows the finding above in the middle meatus. This is resected and the gross pathology is below:
Challenge: What's shown?

Both images shown under Fair Use.

2 comments:

RaH said...

nasalpolyposis

Craig Chen said...

yep!
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Anosmia

Nasal polyps are shown; this is chronic rhinosinusitis with nasal polyposis. The first image shows fixed, glistening, gray or white masses. The second image shows the characteristic vascular polyp tissue at the bottom.

Source: UpToDate.