2. Hx: Newborn with difficulty breathing relieved by crying

3. Findings:
Narrow anterior choana/nares with abnormal “waist” like shape of the maxillary spines and medial angulation of the nasal walls
Central mega incisor

4. Hx: Pyriform aperture stenosis
Other midline anomalies are common such as holoprosencephaly and central megaincisor
Normal nasal cavity for comparison (walls of max sinuses and septum are parallel, not funnel shaped)

5. Hx: 5 year old with bulging forehead

6. Findings: Defect in between nasal bone and frontal bone
Brain bulges through the defect

7. Dx: Nasofrontal encephalocele
Congenital extension of brain through skull at the Glabella (should never biopsy this mass)
Treated surgically

8. Hx: 1 mo male old w/ swollen eye

9. Findings:
Well defined area left medial canthus with minimal peripheral enhancement of the wall
Lt mass in nose
Lt soft tissue swelling preseptal

10. Dx: Dacrocystitis
Needs prophylactic antibiotics and definitive therapy somewhat urgently to prevent infection and nasolacrimal duct damage

11. Hx: Right eye swelling 12 week old

12. Findings:
Well defined area right medial canthus with minimal peripheral enhancement of the wall and fluid level
Rt mass in nose
Rt soft tissue swelling preseptal

13. Dx: Dacrocystocele
Well defined area right medial canthus with minimal peripheral enhancement of the wall and fluid level
Rt mass in nose
Rt soft tissue swelling preseptal

14. Hx: 4y male fvr, recent dental procedure

15. Findings
Sublingual fluid with cellulitis/inflammation

16. Dx: Sublingual abscess due to tooth abscess

17. Hx: Lt facial swelling & redness 2ym

18. Findings
Enhancing left parotid with tiny foci of low density; rt is normal; no calcifications a

19. Dx: Parotitis
Unilateral usually bacterial or due to stone. Mumps is bilateral. Can be viral also a