9yrs old girl child with nasal blockage and snoring.

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Mildly enlarged adenoids with no obstruction of nasal airpassage but enlarged tonsils causing narrow pharyngeal air passage which is causing snoaring . Nasal blockade could be secondary to chronic sinusitis which is seen on X-ray . I don't think child must be having adenoid facies as both upper & lower jaw are at level .

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Adenoid hypertrophy with enlarged tonsils. Patient might have Adenoid facies on presentation.

Synovitis ? RHEUMATOID ARTHRITIS Advised X-ray, RA, ESR, CRP, THYROID PROFILE

Edit Synovitis report for some other case, sorry

Chroic rhnitis leading D N S & Adnoid hyperplesia

Hypertrophied adenoids/tonsils

Hypertrophied Adenoid.

? Adenoids hypertrophy

Sphenoidal sinusitis

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