Dacryoadenitis to Acute Sinusitis
QH was a 13-year-old child who presented to her pediatrician with complaints of eye pain. He did not appreciate any abnormalities of her eyes but there was mild swelling of the eyelids. An x-ray was obtained and was interpreted as normal. She was referred to an ophthalmologist for a consultation that day. The globes were normal, but A-scan revealed marked signals from both ethmoid sinuses consistent with sinusitis (Fig. 220). She was started on antibiotics and decongestants with resolution of her symptoms over several days.