Young child with cystic fibrosis and sinonasal destructive polyposis which resolved incidentally with oral antifungals

Non-contrast CT scan of the sinuses demonstrating extensive polyposis. The maxillary antra and ethmoid sinuses are almost completely opacified bilaterally, with expansion of the left ethmoid sinuses, resulting in hypertelorism and left proptosis. The left lamina papyracea is markedly thin and there is partial destruction of the left inferior turbinate. Non-contrast-enhanced CT soft tissue windows revealed layering of inflammatory debris, suggesting AFS.

Picture of patient following his third FESS operation depicting hypertelorism and telecanthus and left proptosis.

Chest radiograph showing large areas of consolidation/atelectasis involving the right upper lobe (RUL), right lower lobe superior segment and the left lingula.

CT chest showed focal RUL bronchiectasis and a left anteromedial linear RUL opacity with bronchial mucus impaction.

Picture of patient as of January 2008 showing stabilization of his hypertelorism, telecanthus and proptosis.