26-year-old female
A 26-year-old female with a history of multiple visits to her physician for symptoms in the area, previously attributed to sinusitis, was referred for evaluation of a radiopaque lesion in the left nostril extending from the palate superiorly with apparent bone expansion on the left palate. The radiologist identified a partially captured aggressive mixed-density expansile lesion centered within the left inferior turbinate and nasal cavity, with osseous remodeling, complete obliteration of the adjacent left nasal airway, and peripheral sunburst-type spiculation along the superior aspect. The differential considerations included juvenile ossifying fibroma, intraosseous hemangioma, osteoblastoma, chondroid neoplasms, and osteosarcoma. Urgent otolaryngology consultation with dedicated contrast-enhanced CT, MRI, and histopathologic evaluation was recommended.
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