Angel, 21, has a 12-month history of right sided nasal congestion and mucoid to purulent rhinorrhoea.

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<p>Angel, 21, has a 12-month history of right sided nasal congestion and mucoid to purulent rhinorrhoea.</p><p>She has been prescribed three different antibiotics and intransal steroids during the past six months, with no effect.</p><p>She is generally well, with no history of atopy and uses no other medications.</p><p>On examination she is afebrile, the anterior nasal mucosa appears normal, but oropharyngeal examination reveals a mass extending behind the uvula on the right.</p><p>A CT scan is requested, with the results pictured on the next page.</p>

Dr Kate Kelso is Medical Co-editor at Australian Doctor and a GP in Sydney, NSW.