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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 4 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 4

From: Post-COVID-19 acute invasive fungal rhinosinusitis: a systematic radiological approach in the light of clinico-surgical characteristics

Fig. 4

A 70-year-old female presented with left proptosis, visual loss, total ophthalmoplegia, severe headache and left facial gangrene after 4 weeks of COVID-19 infection with poor diabetic control. A MRI axial T2WI shows mucosal opacification of maxillary, left nasal cavity. B Contrast-enhanced T1WI shows enhanced mucosa with soft tissue thickening. C, D T2 with fat suppression shows mucosal thickening of the ethmoidal air cells, Infiltration medial orbital fat. E Contrast-enhanced T1 shows ring-enhanced brain lesion (brain abscess). F Endoscopic view shows necrosis and gangrene of the nasal turbinate and lateral nasal wall. Patient received treatment in the form of left maxillectomy, orbit exenteration, and abscess drainage and IV amphotericin B but patient died after 2 weeks of surgical treatment

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