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Figure it out fridays 

#52

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A 64-year-old Female was presented with a several-month history of unilateral progressive nasal obstruction and recurrent episodes of epistaxis. There was no history of anosmia, nasal discharge, nasal congestion, sneezing, facial pain, or headache. Her past medical history included: hypertension and diabetes. Her family history was otherwise unremarkable.

A rigid endoscopic examination of the nose showed a large, left-sided nasal polypoidal mass with smooth overlying mucosa that occluded the whole left nasal cavity. The remaining ear, nose, throat, head, and neck examinations were normal, and there was no palpable lymphadenopathy.
CT scan of the paranasal sinuses with contrast showed a left anterior lobulated nasal mass of undetermined origin at the level of the cartilaginous part of the nasal septum with mild heterogeneous post IV contrast enhancement and bone remodeling. There was no extension to the paranasal sinuses, and no obvious bone invasion was observed

What is the most likely diagnosis?

A. Nasal polyposis

B. Antrochoanal polyps

C. Chronic rhinosinusitis

D. Nasal septal schwannoma

E. Concha bullosa

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