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Deformity of the forehead is usually the first clinical presentation of the abnormally large frontal sinus caused by Pneumosinus dilatans. We report a rare case of Pneumosinus dilatans frontalis which was found incidentally in a CT scan of Paranasal sinuses for diagnosis of Left chronic sinusitis, which was treated by Middle Meatal Antrostomy by Endoscopic sinus surgery. PD is often an unexpected radiologic finding; however, in most cases, it is diagnosed by the recognition of a frontal deformity.
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