Images A,B MRI scans; C-G CT scans of sinuses. He presented with neutropenic fever with nasal congestion and abdominal pain.An initial diagnosis of this case was typhlitis- which was subsequently was found to be incorrect.
A culture from a nasal swab later revealed Aspergillus flavus.
Surgery revealed that the patient had invasive sinus aspergillosis. The pathology findings were : acute rhinosinusitis with fungal balls composed of branching fungal hyphae.
However, unfortunately the patient died of ventilator-associated pneumonia around 30 days later.