For unilateral nasal disease with copious mucopurulent discharge and absent airflow on one side, which diagnostic approach would be most informative?

• A. CT With Rhinoscopy, Biopsy, Histopath
• B. Abdominal Ultrasound
• C. Chest Radiographs
• D. Electrocardiography

Answer: (A)

Unilateral nasal disease with copious mucopurulent discharge and absent airflow on one side needs a workup that reveals both the anatomy and the exact tissue causing the problem. A CT scan combined with rhinoscopy is the most informative approach because it provides a detailed map of the nasal passages and paranasal sinuses, showing the extent of disease, bone involvement, obstructions, masses, or fungal clumps, which are crucial for planning treatment. Rhinoscopy lets you directly visualize the mucosa, discharge, and any masses or polyps, giving real-time clues about the nature of the disease. Obtaining biopsy samples during this procedure and sending them for histopathology yields a definitive diagnosis—distinguishing inflammatory, infectious (including fungal), or neoplastic processes—and guides the most appropriate therapy. Other options like abdominal ultrasound, chest radiographs, or electrocardiography don’t assess the nasal cavity or provide tissue diagnosis, so they’re not informative for this presentation.