We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Radiology Quiz Case 2 FREE

Marco Berlucchi, MD; Barbara Pedruzzi, MD; Davide Farina, MD
Arch Otolaryngol Head Neck Surg. 2010;136(11):1141. doi:10.1001/archoto.2010.190-a.
Text Size: A A A
Published online

In December 2008, a 5-month-old boy presented with a 1-month history of left nasal obstruction associated with purulent rhinorrhea. His delivery had been uneventful, and his nasal breathing was normal at birth. Rhinoscopy with a flexible endoscope showed a large, reddish, left-sided nasal mass completely occupying the nasal fossa. It bled easily, and its origin was not evident.

Magnetic resonance imaging (MRI) demonstrated an oval mass, measuring 14 × 19 × 17 mm, filling the left nasal cavity with heterogeneously hyperintense signal on T2-weighted images (Figure 1) and hypointense signal on T1-weighted images (Figure 2). After contrast administration, a marked, though incomplete, enhancement was evident on T1-weighted images (Figure 3) and gradient-echo T1-weighted images (Figure 4) and was associated with hypoenhancing areas within the lesion. The mass showed well-defined margins, and the nasal septum and medial maxillary sinus wall were deformed but not infiltrated.

A biopsy was not performed. The infant underwent transnasal endoscopic treatment. Complete excision of the mass, which was located along the inferior portion of the nasal septum, was achieved with a diode laser. No perioperative complications were observed. The patient was discharged from the hospital 2 days after surgery on a regimen of antibiotic therapy (amoxicillin–clavulanate potassium, 25 mg/kg, 2 times per day) and daily nasal washes with saline solution for 10 days. No recurrence was present at endoscopic follow-up.




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...