Case presentation: A 48-year-old patient presented to the otorhinolaryngology department of a hospital with a complaint of altered nasal congestion for the past year. Patient history: The patient had no previous history of allergy or head and neck injury/surgery. Diagnostics: Computer tomography (CT) and nasal endoscopy revealed: Septal deviation Concha bullosa The presence of Haller cell Nasal mucosal swelling owing to nasal allergy Maxillary sinus accessory ostium Figure 1: (a) ) left nasal septal deviation (arrow) and swelling of the right inferior turbinate (arrowheads); (b) left concha bullosa of the middle turbinate (arrow); (c) the narrow of left maxillary sinus ostium owing to the left concha bullosa of middle turbinate This challenge is from the Docplexus Editorial team for an educative purpose only.
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