CT of the head, pre- and post-contrast series – Within both nasal cavities a moderate amount of non-enhancing soft tissue attenuating
material precipitates within the ventral thirds and occupies the nasal fundus as well as
the rostral aspect of the nasopharynx. There is no turbinate destruction. The nasal
septum and nasal bones are intact. A mass effect is not evident.
Mild irregular thickening of the soft palate and caudodorsal pharyngeal wall is noted.
A focal mineralization of 4 x 3 mm is seen within the right caudal aspect of the soft
palate consistent with a dystrophic mineralization.
The right frontal sinus is not patent which is a common congenital variation of normal
anatomy with no known clinical significance. The left frontal sinus is patent and within
normal limits.
Both medial retropharyngeal lymph nodes present moderate enlargement, rounded
shape and heterogenous contrast enhancement. The surrounding tissue reveals mild fat
stranding. The submandibular lymph nodes show mild symmetric enlargement.