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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
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Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
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Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
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For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Paranasal Sinus
Paranasal Sinus Anatomy and Imaging Protocol
14 topics, 56 min.
Introduction to Paranasal Sinus
1 m.Sinonasal CT and MR Protocol
4 m.Sinonasal Drainage
4 m.Mucociliary Clearance
4 m.Current Surgical Procedures in the Sinonasal Channels
4 m.Posterior Ethmoid Surgical Procedures
2 m.Neurovascular Structures in the Paranasal Sinus
3 m.Anatomic Variation in the Paranasal Sinus Part 1
6 m.Anatomic Variation in the Paranasal Sinus Part 2
7 m.Paranasal Sinus Anatomy on CT
8 m.Keros Classification
5 m.Keros Classification on CT
5 m.Normal Post-op Findings in the Paranasal Sinus and Complications
8 m.Post-op Orbital Complications
3 m.Paranasal Sinus
Inflammatory Disease
32 topics, 1 hr. 47 min.
Acute Sinusitis
5 m.Acute Bacterial Sinusitis
4 m.Chronic Sinusitis
6 m.Chronic Sinusitis on CT
7 m.MR in Inflammation
7 m.Hyperdense Sinus
6 m.Fungal Sinusitis
3 m.Nasal Congestion in a 36-Year-Old
3 m.Fungus Ball in the Sphenoid Sinus
2 m.Fungus Ball in the Maxillary Sinus
2 m.Allergic Fungal Sinusitis
4 m.Invasive Fungal Sinusitis
5 m.Sinonasal Fungus Disease
7 m.Rhinosinusitis Classification
2 m.Identifying Complications of Sinusitis
5 m.Subperiosteal Abscess of the Orbit
4 m.Mucocele in the Sphenoid Sinus
2 m.Mucocele Summary
5 m.Intracranial Complications of Sinusitis
4 m.Pott's Puffy Tumor
2 m.Epidural Abscess
3 m.Epidural Abscess on MRI
3 m.Vascular Complications of Sinusitis
3 m.Sinus Thrombosis
3 m.Maxillary Sinusitis Silent Sinus Syndrome Summary
3 m.Polyps Summary
2 m.Polyps on CT
3 m.Polyposis with Mucocele
4 m.Polyposis on MRI
2 m.Antrochoanal Polyp, Odontogenic Sinusitis
3 m.Organizing Hematoma
2 m.Silent Sinus Syndrome
4 m.Paranasal Sinus
Neoplastic Disease
21 topics, 1 hr. 6 min.
Paranasal Benign Neoplasms
3 m.Mucous Retention Cysts and Frontal Ethmoidal Osteoma
2 m.Benign Chondroma of the Nasal Septumn
1 m.Inverted Papilloma Features
5 m.Inverted Papilloma on MRI
2 m.Pleomorphic Adenoma
2 m.Sinus Malignancies
5 m.Squamous Cell Carcinoma
4 m.Squamous Cell Carcinoma Summary
6 m.Sinus Malignancy Rule
7 m.Melanoma
2 m.MSG Tumor, Adenoid Cystic Carcinoma
8 m.Paranasal Sinus Sarcomas
4 m.Undifferentiated Sarcoma of the Sinonasal Cavity
3 m.Chondrosarcoma
3 m.Sinonasal Undifferentiated Carcinoma SNUC
4 m.Sinonasal Undifferentiated Carcinoma on MRI
2 m.Esthesio / Olfactory Neuroblastoma
2 m.Esthesioneuroblastoma
2 m.Olfactory Neuroblastoma
2 m.Kadish System Grading of Olfactory Neuroblastoma
6 m.Paranasal Sinus
Miscellaneous Lesions of the Paranasal Sinus
10 topics, 22 min.
0:00
This was a patient who presented with facial pain.
0:03
And as you can see on the bone windows,
0:06
the patient did have maxillary sinus ethmoid,
0:10
sinus sphenoid, sinus inflammation.
0:12
But the curious feature in this case was the nasal septum.
0:16
Here you see the low density associated
0:20
with the cartilaginous nasal septum extending into
0:23
the nasal cavity.
0:25
And this is the columella of the nasal cavity
0:30
projecting into the Aries here,
0:33
and you have this low density.
0:34
This was an abscess of the
0:38
nasal septum in a patient who was a cocaine user.
0:43
So this is, I would say like the precursor
0:46
or a, a gross precursor to the
0:50
nasal septal perforation
0:51
that we typically see in cocaine users
0:54
where this area of necrosis.
0:56
So differential diagnosis here includes pyoderma granulosis,
1:01
in which case you have an infection.
1:04
Usually I believe it's often pseudomonas infection
1:08
that can occur along the nasal septum as well.
1:12
But, uh, differential diagnosis would include things like
1:15
tuberculosis, like syphilis,
1:16
like leprosy affecting the nasal septum.
1:20
So this patient had this aspirated
1:22
and did have the very ugly purulent material coming out
1:27
of the nasal septum in a patient who was a cocaine user in.
1:31
As you can see, the inflammatory process extended into the
1:34
upper lip and into the adjacent soft tissues.
Nasal Septal Perforation
HIDEInteractive Transcript
0:00
This was a patient who presented with facial pain.
0:03
And as you can see on the bone windows,
0:06
the patient did have maxillary sinus ethmoid,
0:10
sinus sphenoid, sinus inflammation.
0:12
But the curious feature in this case was the nasal septum.
0:16
Here you see the low density associated
0:20
with the cartilaginous nasal septum extending into
0:23
the nasal cavity.
0:25
And this is the columella of the nasal cavity
0:30
projecting into the Aries here,
0:33
and you have this low density.
0:34
This was an abscess of the
0:38
nasal septum in a patient who was a cocaine user.
0:43
So this is, I would say like the precursor
0:46
or a, a gross precursor to the
0:50
nasal septal perforation
0:51
that we typically see in cocaine users
0:54
where this area of necrosis.
0:56
So differential diagnosis here includes pyoderma granulosis,
1:01
in which case you have an infection.
1:04
Usually I believe it's often pseudomonas infection
1:08
that can occur along the nasal septum as well.
1:12
But, uh, differential diagnosis would include things like
1:15
tuberculosis, like syphilis,
1:16
like leprosy affecting the nasal septum.
1:20
So this patient had this aspirated
1:22
and did have the very ugly purulent material coming out
1:27
of the nasal septum in a patient who was a cocaine user in.
1:31
As you can see, the inflammatory process extended into the
1:34
upper lip and into the adjacent soft tissues.
Report
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Mahla Radmard, MD
Postdoctoral Research Fellow
Johns Hopkins University School of Medicine
Tags
Sinus
Sinonasal Cavity
Oncologic Imaging
Neuroradiology
Infectious
CT
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