Hi Helen,
The first image is looking side on at Libby's head with her nose to the left and ears to the right, you can see her upper cheek teeth and above them where the sinuses lie which should be quite black their is a mottled mass approximately the size of a grapefruit. there is a small area above of normal sinus (blacker area) then the outline of the edge of her skull.
The 2 other images are looking straight down at her head the white curved lines are her mandible ad you can see her teeth in cross section (one image is further towards her nose and the other looking between her eyes), one the images the right side of her head is filled with soft tissue density mass ( greyish) rather than air in the sinus as it is on the left; so either side of the right side teeth looks whiter than the same area on the left, this is because the mass is denser than air and absorbs the xrays more. The mass extends from mid way up her nostril to behind her eye level.
Head xrays are quite complicated as the xray looks through and you get all the structures superimposed on one another. If you would prefer I would be happy to show you at the practice, if you would like to make an appointment.
I am awaiting a reply from John Burford but have discussed Libby with my colleagues and unfortunately, no treatment options are available to deal with a mass of this size, in this region, which has grown silently or rapidly and invaded the tissues widely.
I am sorry this is not better news and will let you know, what John says.
The first image is looking side on at Libby's head with her nose to the left and ears to the right, you can see her upper cheek teeth and above them where the sinuses lie which should be quite black their is a mottled mass approximately the size of a grapefruit. there is a small area above of normal sinus (blacker area) then the outline of the edge of her skull.
The 2 other images are looking straight down at her head the white curved lines are her mandible ad you can see her teeth in cross section (one image is further towards her nose and the other looking between her eyes), one the images the right side of her head is filled with soft tissue density mass ( greyish) rather than air in the sinus as it is on the left; so either side of the right side teeth looks whiter than the same area on the left, this is because the mass is denser than air and absorbs the xrays more. The mass extends from mid way up her nostril to behind her eye level.
Head xrays are quite complicated as the xray looks through and you get all the structures superimposed on one another. If you would prefer I would be happy to show you at the practice, if you would like to make an appointment.
I am awaiting a reply from John Burford but have discussed Libby with my colleagues and unfortunately, no treatment options are available to deal with a mass of this size, in this region, which has grown silently or rapidly and invaded the tissues widely.
I am sorry this is not better news and will let you know, what John says.
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