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Figure 1b. Acute invasive fungal sinusitis due to zygomycosis in a 59-year-old diabetic man with pain and swelling of the left eye and left-sided facial droop. (a) Axial T2-weighted MR image shows minimal mucosal thickening in the left sphenoid sinus. The normally expected flow void of the left carotid artery is absent (arrow). (b) Axial T2-weighted MR image obtained craniad to a shows an acute infarct involving the left temporal lobe (arrows). (c) Coronal unenhanced T1-weighted MR image shows soft-tissue thickening in the region of the left cavernous sinus (arrows) secondary to invasion of the cavernous sinus by the sphenoid sinus disease. Despite aggressive treatment with amphotericin B, the patient died 5 days later.
