Abstract

Mohammad H, FMCR

Mucocele as a space occupying lesion is disturbing, especially, when expanding within the potential space in the nose with attendant pressure necrosis and consequent respiratory embarrassment. Bilaterality makes it worse. Good imaging evaluation goes a long way to assist the clinician in management in order to achieve a better outcome. This was a case of a huge right sided frontoethmoidal mucocele with associated ipsilateral visual loss in a 70-year old woman. The lesion had been growing gradually for about four years. The diagnosis was initially made using plain radiographs and Magnetic Resonance Imaging (MRI) of the paranasal sinuses and this was latter confirmed intraoperatively during radical frontoethmoidectomy and enucleation of the right eye. Though, mucocele has a number of imaging features of which none is particularly unique, imaging features when taken together with clinical findings will help in better clinical evaluation.