Hello:  below is the report from my most recent CT scan.  

The ENT that had given me the referral to have this done did NOT recomend
surgery - i think that this is primarily because i had not shown
improvement with two previous surgeries.  so i wonder why he recommended
it at all.  instead he recommended following up with an allergist (despite
the fact that i had been on allergy shots for a year previously).  also he
gave me a prescription for Diflucan which (whether it was coincental or
not) may have helped me--beginning on day 2 of the diflucan i began to
feel a little better and was able to go to sleep much easier - this
persisted until about 10 days after the Diflucan at which case i began to
get back to my miserable self.  Also the white coating that shows up on
the back of my tongue, which i had assumed was either from the PND or from
friction involved with my constant snorting, but which did get cultured and
showed up positive for yeast, is back.  

i called the ent and at my insistence asked him to provide me with a
contact for an infectious disease doctor.  does this sound like a good
plan?

also, an input about the below CT scan?  when it states:  "opacification
of the left maxillary sinus, with soft tissue extending into the
surgically created ostium"    and " lobular mucosal thickening involving
the right maxillary sinus, versus mucous retention cyst formation or
polyp"  can they really tell from the picture exactly what this grey mass
is?  couldnt it all just be snot?

is this statement: "No air-fluid level identified."  a good thing?

Indications:    Sinusitis

Findings:    Thin section coronal CT images were performed through the
paranasal sinuses.

There is evidence of previous functional endoscopic sinus surgery.  There
has been previous resection of the superomedial margin of the maxillary
sinuses, bilaterally.

On the current examination, there is near complete opacification of the
left maxillary sinus, with soft tissue extending into the surgically
created ostium, contiguous with soft tissue density within the left
ethmoid sinuses.

There is lobular mucosal thickening involving the right maxillary sinus,
versus mucous retention cyst formation or polyp.  The surgically created
ostium is patent.

Moderate mucosal thickening is demonstrated involving the floor and
posterior aspect of the left frontal sinus.  There is mild mucosal
thickening involving the floor of the right frontal sinus.

Mild mucousal thickening and opacification of the right ethmoid sinus.

The sphenoid sinuses are clear.

No air-fluid level identified.

There has been partial surgical resection of the nasal septum.

Impression:     Chronic sinusitis.  Near complete opacification of the left
maxillary sinus.  Previous functional endoscopic surgery with postsurgical
alteration, as described.  No air-fluid level identified.