I desperately need help determining what this means.....and if it warrents surgery. How serious is sinus surgery and what can she expect?
Patient is 19 yrs. old, diagnosed with chronic sinusitis which does not respond to any meds tried (currently on Zyrtec and Nasocort). Chronic cough, etc. Also is ANA+ 1:1280 which has not been diagnosed as anything as of yet. Also has celiac disease.
1. Small focus of soft tissue density at the anterior left ethmoid sinus.
2. Mild mucosal thickening at the inferior left maxillary sinus and minimal degree of mucosal thickening of the superomedial left maxillary sinus. There is a tiny focus within the anterior right sphenoid sinus and the posteromedial left frontal sinus.
3. Asymmetric enlargement of the inferior left nasal turbinate. There is a left concha bullosa. There is mild septal deviation towards the right.
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