PMC9313962_01
Axial paranasal CT showed significant hyper-density in both maxillary sinuses (arrows) with completely obliterated left maxillary sinus (dense arrow) and air-fluid level within right maxillary sinus (small arrow) likely related to an underlying infection.
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fig1
The CT scan revealed right frontal dehiscence with bilateral maxillary sinus opacification (Figure 1).
Pelvic MRI showed a lower cervical mass with transmural stromal involvement measuring 4 x 4 x 3 cm (arrow). It is protruding to the upper half of the vagina and expanding vaginal fornices.
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fig2
The biopsy showed non-keratinizing poorly differentiated invasive squamous-cell carcinoma, and a pelvic MRI revealed a large lower cervical mass protruding to the upper half of the vagina measuring up to 4 cm in the two largest dimensions without parametrial invasion that staged llA2 by FIGO (Figure 2).