# The Diagnostic Value of CT Scan in Identifying Adenoid Hypertrophy in Adults: A Case Report

## TL;DR

A CT scan helped diagnose rare adult adenoid hypertrophy in a 22-year-old woman with persistent nasal symptoms.

## Contribution

Highlights the diagnostic value of CT scans in identifying adult adenoid hypertrophy when other methods fail.

## Key findings

- CT scans revealed a space-occupying mass in the nasopharynx consistent with adenoid hypertrophy.
- CT scans provided detailed information about lesion extension and ruled out malignant tumors.
- The patient improved with a combination of painkillers, antibiotics, and nasal decongestants.

## Abstract

The utility of computed tomography (CT) scan in diagnosing adenoid hyperplasia in adults. A 22-year-old woman presented with persistent bilateral nasal obstruction, anterior nasal discharge, mouth breathing, and snoring over the past three months. Despite attempts with both local and systemic decongestants, there was no improvement, and flexible nasopharyngoscopy could not be conducted. CT scans revealed a heterogeneously enhancing space-occupying mass in the nasopharynx, and a rare diagnosis of adult adenoid hypertrophy was reported. The patient responded to a combination of painkillers, antibiotics, and nasal decongestants.

Adenoid hyperplasia in adults is quite rare and inadequate examination by indirect posterior rhinoscopy may lead to misdiagnosis and mismanagement. A CT scan not only provides a clearer view of the nasopharyngeal space and adenoids but also reveals details about the nature of lesions, including their extension and potential bone destruction, suggesting the presence of a malignant tumor. Additionally, a CT scan proves valuable in diagnosing chronic sinusitis.