Patient presents with fever, headache, and nasal congestion.
Concern for sinus disease.
Sinus CT:
There are air-fluid levels within the maxillary and sphenoid sinuses as well as opacification (mucosal thickening and fluid) of the frontal and ethmoid sinuses.
Although these findings are not specific to acute sinusitis, given the correct clinical picture, acute sinusitis can be suggested.
If there is concern for obstruction, functional endoscopic sinus surgery (FESS) may be considered.
Sinus air-fluid levels which may represent acute sinusitis.