I have had sinus problems for a long time. I had a scan done once in 2009 and the again last year and the ENT said there was nothing there (results below). About 8 weeks ago I got a horrible cold with more drainage than I had ever had before. Ever since I have had horrible pressure behind the bridge of my nose and forehead/eyes. I started blowing yellow drainage and my doctor put me on an antibiotic (augmentin). After 7 days I no longer had yellow drainage but the pressure was still horrible. My doctor put me on a 5 day course of prednisone (20 mg) day (yesterday). So here are my questions.
Is the scan normal as the ENT suggests? How long before the prednisone should help with the pressure? Any other feedback you can offer?
CT SINUS COMPLETE WO CONTRAST Final result Tue Mar 26, 2013 1053 EDT
CT PARANASAL SINUSES
Clinical Indication: Chronic migraines. Persistent maxillary sinus
pain bilaterally. Evaluate for radiographic sinusitis
Prior exam: 01/20/2009
Technique: Axial plane without contrast. Sagittal and coronal
reformats were obtained. Soft tissue and bone windows.
Findings: Right maxillary sinus is clear. Right maxillary sinus
ostium and right ethmoid infundibulum are patent. The right hiatus
semilunaris and right middle meatus are well-aerated.
Tiny nodular opacity in the superomedial left maxillary sinus
bordering the medial aspect of the left ostiomeatal channel however
there is patency of the left maxillary sinus ostium and left ethmoid
infundibulum. The left hiatus semilunaris and left middle meatus are
Frontal sinuses are hypoplastic, left greater than right. Frontal
recesses are patent.
Opacification of a solitary right anterior ethmoid air cell adjacent
to a tiny osteoma. Ethmoid air cells are otherwise clear.
Mild opacity along the anterior margin of the right sphenoid sinus
which appears to obstruct the right sphenoid sinus ostium. Left
sphenoid sinus is clear and the left sphenoid sinus ostium and left
sphenoethmoidal recess are well-aerated.
Mild sigmoid curve to the nasal septum. Both sides of the nasal
cavity are well-aerated including the middle meatus regions.
Paradoxical scrolling of the anterior middle nasal turbinates.
Keros type II olfactory fossa.
Mastoid air cells and tympanic cavities well-aerated bilaterally.
Soft tissues of the nasopharynx and visualized oropharynx are
unremarkable. Limited intracranial views are unremarkable. Orbits are
1. Small nodular opacity adjacent to the left maxillary sinus ostium
and left ethmoid infundibulum which are patent.
2. Opacification of a solitary right anterior ethmoid air cell
adjacent to a very tiny right osteoma.
3. Mild opacity along the anterior margin of the smaller right
sphenoid sinus which appears to obstruct the right sphenoid sinus
4. Mild sigmoid curve to the nasal septum with good aeration in both
sides of the nasal cavity.
5. Comparison with the previous examination dated 01/20/2009 reveals
that the solitary opacified right ethmoid air cell and tiny adjacent
osteoma were not present previously. Also not present on the prior
examination is the mucosal thickening in the anterior right sphenoid
sinus impinging upon the right sphenoid sinus ostium identified on
the present study.