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His eyes saved him. What they insisted on seeing and reporting to him took him out of the autism of terror. For on the screen now was a strange sight, a great pallid plain of stone. It was the desert seen from the mountains above Grand Valley. How had he got back to Grand Valley? He tried to tell himself that he was in an airship. No, in a spaceship. The edge of the plain flashed with the brightness of light on water, light across a distant sea. There was no water in those deserts. What was he seeing, then? The stone plain was no longer plane but hollow, like a huge bowl full of sunlight. As he watched in wonder it grew shallower, spilling out its light All at once a line broke across it, abstract, geometric, the perfect section of a circle. Beyond that arc was blackness. This blackness reversed the whole picture, made it negative. The real, the stone part of it was no longer concave and full of light but convex, reflecting, rejecting light. It was not a plain or a bowl but a sphere, a ball of white stone falling down in blackness, falling away. It was his world.
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Introduction. An antrolith is a calcified mass within the maxillary sinus. The origin of the nidus of calcification may be extrinsic (foreign body in sinus) or intrinsic (stagnant mucus and fungal ball). Most antroliths are small and asymptomatic. Larger ones may present as sinusitis with symptoms like pain and discharge. Case Report. We report a case of a 47-year-old lady who presented with heaviness on the left side of the face and loosening of the left 2nd molar tooth since two months. CT scan of the osteomeatal complex and paranasal sinuses showed an opacification of bilateral maxillary sinus and an amorphous area of bone density in the left maxillary sinus. Because of the size of the mass, benign neoplasms were considered in the differential diagnosis. During an endoscopic sinus surgery, it was found to be an antrolith, which was successfully managed by antrostomy and Caldwell-Luc Surgery. Discussion. Antrolith is a rare condition. Rhinoliths are known to invade into the maxillary antrum, but a localised lesion in the antrum is very unusual. A case of an isolated antrolith is presented for its rarity and for differential diagnosis of localised antral disease. Conclusion. Antrolith should be considered as differential diagnosis of unilateral radio-opaque paranasal sinus lesions.
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