Question

A 14-year-old boy presented with nasal mass and recurrent episodes of bleeding from the mass. Investigation of choice?

• A. Plain CT
• B. CT with contrast
• C. X-ray Caldwell view
• D. X-ray with Pierre view

Hint:

For evaluating nasal masses with bleeding, CT with contrast provides detailed imaging and helps in planning surgical or therapeutic interventions.

Answer 1

The Correct Option is B

To determine the best investigation for a 14-year-old boy presenting with a nasal mass and recurrent episodes of bleeding, we need to consider the most informative imaging technique that provides detailed visualization of the structures involved. The options mentioned include different types of radiological investigations.

1. Plain CT: This is a computed tomography scan without contrast. While it provides good imaging of bone structures, it does not offer the same level of detail for soft tissue differentiation as a contrast-enhanced CT.

2. CT with contrast: This is a more detailed CT scan that uses a contrast agent to enhance the imaging of blood vessels and soft tissues. This is particularly useful for identifying vascular structures and determining the extent of soft tissue masses.

3. X-ray Caldwell view: A specific angle for X-ray imaging focused on the frontal sinus. Although it can help identify certain sinus issues, it lacks the detailed differentiation and cannot identify vascular involvement effectively.

4. X-ray with Pierre view: A rarely used term likely intended to refer to another named view in X-rays, but similarly, it does not provide the necessary detail for evaluating soft tissue and vascular involvement.

Considering these options, the CT with contrast is the investigation of choice. It allows for an enhanced view of the nasal mass, helps to assess the extent, delineation, and vascular nature of the lesion more effectively.