Technique: Contiguous axial scans of the paranasal air sinuses were obtained with thin overlapping slices and were evaluated along with coronal and sagittal MPR images. Findings: Mucosal thickening of the paranasal sinuses with clear osteomeatal complexes. Pneumatized left middle concha stalk . S - shaped deviated nasal septum , a left side spur causing adhesions with the left nasal turbinates . No encroachment upon the intraocular or intracranial regions. Visualized bilateral orbits, their contents and bony outlines appear normal. Visualized portions of brain and cranial bones appear normal. Unremarkable nasopharynx . Impression: Sinusitis . Pneumatized left middle concha stalk . S – shaped deviated nasal septum with left nasal turbinates adhesions