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Medical Forum / Diseases and Disorders / Sinusitis / May 2007

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frontal sinus pain and MRI reports, help

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ns666ns@yahoo.com - 06 May 2007 04:43 GMT
Hi, when I frown or move the right eyebrow or touch/press it, I feel
dull pain in the area and deep inside the head, it's like this for a
few months now, I went to see a opathomologist who did a complete eye
exam on me, but he found nothing wrong in the right eye. I went to a
MRI imaging center and did a MRI 1.5T scan on orbits and brain, here
is the report:

The ventricles and sulci are within normal limits. The flair imaging
demonstrates a small hyperintensity lesion in the right frontal
subcortical white matter. the brain parenchyma is otherwise normal in
signal intensity and configuration. No acute hemorrhage, mass lesion
or mass effect is demonstrated intracranially. the patient has septum
pellucidum, normal variant. there is no extraaxial collection. the
sella is normal in size. the craniovertebral junction is normal. the
internal carotid arteries and basilar artery show normal flow void
signal intensity.

the globes are normal in size and configuration. the optic nerves are
normal in size, course and signal intensity. the extraocular muscles
and retrobulbar fat are unremarkable bilaterally. the optic chiasm is
intact.

there is mild mucosal thickening of the bilateral ethmoid, frontal and
maxillary sinuses compatible with chronic sinusitis. the right
maxillary sinus demonstrates a polyp versus retention cyst measuring
1.8x.1.8 cm in the inferior all. there's no evidence of air-fluid
level. the osteomeatal complex is patent bilaterally. the nasal septum
is midline. the nasal cavity is unremarkable.

IMPRESSION:
1. single small right frontal white matter lesion is nonspecific and
may represent small vessel ischemic disease or gliosis.
2. normal variant septum pellucidum
3. chronic paranasal sinusitis.
4. polyp versus retention cyst in the right maxillary sinus.

I don't understand much about this report, seems like there's a
sizable tumor in the sinus that need be removed (or is there other
treatments)? is that the reason I feel the pain?

I assume I need to see an ear/nose/throat doctor, but any idea how
much it would cost since no insurance here :(

thanks
ns666ns@yahoo.com - 07 May 2007 01:50 GMT
is chronic paranasal sinusitis the cause of pain? can it be cured?

thanks
Steven L. - 07 May 2007 03:52 GMT
> Hi, when I frown or move the right eyebrow or touch/press it, I feel
> dull pain in the area and deep inside the head, it's like this for a
[quoted text clipped - 38 lines]
> I assume I need to see an ear/nose/throat doctor, but any idea how
> much it would cost since no insurance here :(

If you had no insurance, who paid for your MRI and visits to the
opthalmologist?

Why did you consult an opthalmologist for pain that was over your eyebrow?

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net
Remove the NOSPAM before replying to me.

Terry Raymond - 07 May 2007 12:47 GMT
ns666ns@yahoo.com wrote in news:1178423021.415468.69120
@q75g2000hsh.googlegroups.com:


> IMPRESSION:
> 1. single small right frontal white matter lesion is nonspecific and
[quoted text clipped - 11 lines]
>
> thanks

Costs for an ENT examination vary considerably. One local
ENT charges me $65 for an office visit, I pay the full
fee. Another, charges around $300. His fee is divided into
two parts, an office visit, and an exam which is categorized
under surgery. This may also be because the ENTs are in
different states.

Signature

Terry
===========================================================
Terry Raymond
Crafted Smalltalk
80 Lazywood Ln.
Tiverton, RI  02878
(401) 624-4517        traymond at craftedsmalltalk nospam dot com
<http://www.craftedsmalltalk.com>
===========================================================

truehawk - 07 May 2007 14:30 GMT
> ns66...@yahoo.com wrote in news:1178423021.415468.69120
> @q75g2000hsh.googlegroups.com:
[quoted text clipped - 34 lines]
>
> - Show quoted text -

Sounds like you have a chronic sinusitis infection, with a pylop in
your right maxillary sinus.
Do a search on biofilm sinusitis at http://www.pubmed.gov and you will
find some ariticals about the efficacy of
macrolide antiboitcs in treating chronic sinusitis.

You might want to read this thread.

http://groups.google.com/group/alt.support.sinusitis/browse_thread/thread/de7ec0
909e3d2f2c/?hl=en
#
ns666ns@yahoo.com - 07 May 2007 19:38 GMT
thanks all who replied.

my past visits and MRI all paid out of pocket, it's expensive but
nowhere near if operation has to be performed, that's my main concern.

from the report I don't know the exact cause of the pain, do any of
you who suffer chronic sinusitis have similar pain or symptoms?
ns666ns@yahoo.com - 08 May 2007 19:11 GMT
what's the specialty of ENT doctors for chronic sinusitis? Sinus
Disorders/Surgery?
truehawk - 08 May 2007 19:39 GMT
On May 8, 2:11 pm, ns66...@yahoo.com wrote:
> what's the specialty of ENT doctors for chronic sinusitis? Sinus
> Disorders/Surgery?

MOST ENTs are surgeons.
>From the discription of on you MRI you do not have a deviated septum
or enlarged turbinates, two of the usual
targets. But you should bring your MRI to your ENT and let him have a
look at it.

It sounds like you need just need FESS to clean the pylop out of your
maxillary sinus and check out
everything else. (That supprises me, because I think that most sinus
infections procede stepwise
from back to front moving a step farward with each viral infection,
but yours seems to have gotten a grip in the front without showing up
in the ostemeatal complex.)

Back to the subject: The fees for FESS can vary WIDELY, and don't seem
at all related to skill.
Judy N. pays $300.00 some pay $10,000.00-20,000.

Laser surgery and Somnoplasty seem to have more people who
did not experience post op infection and are happy with their surgery
than
those who were roterrootered othoscopicly and it seems to be cheaper.
I don't know if that would be approperate for your pathology, but
those sinus centers that offer these techniques
seem to tend to be less expensive and a bit more patient friendly than
those who don't.
ns666ns@yahoo.com - 08 May 2007 20:22 GMT
thanks for the reply.

yes I find it strange the pain is around the right eyebrows area close
to the nose, I don't have any problem on the left side, nor any other
place on the face, and I feel pain only if I frown or move my eyebrows
and it goes kinda inside the head, almost like hurt by "pulling the
string", I don't feel much if I don't move my eyebrows. I don't know
if this is caused by sinusitis, but the orbit/brain scan seems to
indicate nothing else is wrong?
truehawk - 08 May 2007 22:54 GMT
On May 8, 3:22 pm, ns66...@yahoo.com wrote:
> thanks for the reply.
>
[quoted text clipped - 5 lines]
> if this is caused by sinusitis, but the orbit/brain scan seems to
> indicate nothing else is wrong?

You don't have the usual, but you have something.
Go find an ENT.

As far as the

>1. single small right frontal white matter lesion is nonspecific and
>may represent small vessel ischemic disease or gliosis.

That is something else all together, and scary as hell.
You need to get a qualified brain person to look at that.
You need to be tested for diabetes, because if you turn out to be
diabetic, really awfully bad things can
be happening in your sinuses.
Just find a really good hospital and GO.
 
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