Bilateral asymmetrical rhinoscleroma.

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Patient 4. Patient 4. Sinonasal carcinoma t(15;19). A, CT scan demonstrates a midline sinonasal tumor (arrow) with lytic bony destruction of the paranasal.
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Presentation transcript:

Bilateral asymmetrical rhinoscleroma. Bilateral asymmetrical rhinoscleroma. A, Sagittal T1-weighted image (600/25) shows a homogeneously hyperintense nasal mass.B, Axial T1-weighted image (600/25) shows bilateral asymmetrical nasal masses. The one on the right extends through the anterior nares. They are hyperintense relative to muscle but less hyperintense than fat.C, Photomicrograph of a resected specimen. Intact squamous epithelium overlies heavy infiltration by chronic inflammatory cells with clear Mikulicz cells (arrow) and plasma cells, including Russell bodies (hematoxylin-eosin, original magnification ×100). Ahmed Abdel Khalek Abdel Razek, and Ahmed Ahmed Elasfour AJNR Am J Neuroradiol 1999;20:575-578 ©1999 by American Society of Neuroradiology