title: Radiological aspect of fungus ball within a mucocele of the sphenoid sinus.
abstract: Paranasal sinus fungus ball is within the non-invasive forms and is characterized by the presence of aggregated hyphae that do not invade the sinus mucosa. Mucoceles are benign, expansile, cyst-like lesions of the paranasal sinuses. The mucoid secretions of mucoceles are usually sterile. However, secondary infections, mostly bacterial, may lead to the development of pyocoeles. Although an association between a fungus ball and a mucocele is rare in the paranasal sinuses, this disease entity should be considered in the differential diagnosis of expansile, cystic sinus lesions. In this article, clinical and radiological findings of a 61-year-old male patient with isolated sphenoid sinus fungus ball within a mucocele presented with headache and periorbital pain were discussed with recent literature.
authors.affiliation: Department of Radiology, Suitgi Imam University, School of Medicine, Kahramanmarag, Turkey. drfatihinci@gmail.com
authors.forename: M F
authors.initials: MF
authors.lastname: Inci
authors.affiliation: Department of Radiology, Suitgi Imam University, School of Medicine, Kahramanmarag, Turkey.
authors.forename: F
authors.initials: F
authors.lastname: Ozkan
authors.affiliation: Department of Ophthalmology, Suitgi Imam University, School of Medicine, Kahramanmarag, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Aksoy
authors.affiliation: Department of Otorhinolaryngology, Suitgi Imam University, School of Medicine, Kahramanmarag, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Kelleş
mesh_terms: D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D005658:Fungi; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D009078:Mucocele / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D009181:Mycoses / Q000000981:diagnostic imaging*; D013101:Sphenoid Sinus / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods*