Clinical Photo of The Week: Vol2, No3

This case was presented in the current edition (vol2No3) of otorhinolaryngology news:
An 11-year old male presented with 3-week history of persistent fever, nasal obstruction with mouth breathing, and swelling of the nose. The symptoms were preceded by history of blunt injury to the nose while trying to separate his classmates who were fighting. There was little response to antibiotic therapy given by the GP before referral. Examination revealed the nasal feature displayed on this radiograph.
Diagnosis: Septal Abscess. About 12mls of pus was drained in this particular case. The pus was believed to have resulted from a possible septal haematoma following the blunt injury to nasal pyramid.

Clincal Radiograph of The Week: vol2, No2

The following case was presented in the recent edition (vol2no2) of the otorhinolaryngology news: A 40-year old male presented with progressive painless right cheek swelling of 6 months duration. The swelling was associated with systemic symptoms of tiredness, easy fatigability and recurrent fever. There was no associated oral or pharyngeal thrush. Examination revealed firm swelling over the right parotid area. CT-Scan showed the feature displayed on this radiograph. You may want to see other views of the CT for clarity

Diagnosis: HIV-related lymphoepithelial cyst of the parotid. You can view a medline abstract on this topic here. You can also view a full publication on case report from 5 patients here