Left sided sinonasal polyposis with maxillary, ethmoid sinusitus and a hyperdense minimally enhancing lesion with large central calcification causing erosion of medial wall of orbit, nasolacrimal duct invasion and intraorbital extansion.
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It point towards Invasive Fungal Sinusitis. Microdebrider assisted Nasal Endoscopic Surgery followed by 3 months of oral Itraconazole is the treatment of choice with regular 3 monthly follow-up visits for next 10 years to prevent recurrences.
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