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Case Reports in Pediatrics
Volume 2016 (2016), Article ID 2862010, 5 pages
http://dx.doi.org/10.1155/2016/2862010
Case Report

Enhancing Mass Lesion of the Sphenoid: Atypical Presentation of Ongoing Pneumatization

Department of Radiology, SUNY Upstate Medical University, Syracuse, NY 13210, USA

Received 8 August 2016; Revised 3 November 2016; Accepted 17 November 2016

Academic Editor: Nina L. Shapiro

Copyright © 2016 Deepak Vallabhaneni et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Sinus pneumatization is a complex variable process that begins in early life and continues for many years. We present a case of a 6-year-old boy with progressive headaches and neurologic symptoms suggestive of intracranial pathology. The presence of enhancing tissue within the sphenoid sinus created a diagnostic dilemma which leads to a transsphenoidal biopsy. Knowledge of imaging characteristics associated with incomplete pneumatization can help differentiate it from more ominous skull base pathology and prevent unnecessary testing. We describe four-year imaging follow-up in a patient with incomplete pneumatization of the sphenoid sinus presenting as an enhancing mass lesion with subsequent follow-up imaging demonstrating gradual regression and increased aeration of the sphenoid sinus.