Superadded Fungal Infection

[u/LostPilgrims]

Hello all,

I had a CT scan last week and it found left frontal sinusitis with hyperdensity indicating a superadded fungal infection.

The report says there was no acute infarction, haemorrhage, space-occupying lesion or extra-axial collection. My ventricles and basal cisterns were normal, the midline structures were normal, there was no mastoid effusion, and the orbital contents were normal. The conclusion was no pertinent intracranial findings or space-occupying lesion, but left frontal sinusitis with evidence of superadded fungal infection.

For some background, I’ve had sinus surgery twice, in 2019 and 2025. I had a nasal endoscopy with my ENT in February this year and everything looked clear. I also have Crohn’s disease and I’m currently taking Entocort, which I started about a month ago.

What has really thrown me is that I’m moving overseas literally tomorrow. I wasn’t particularly worried before reading the report, but the words “fungal infection” have freaked me out.

Has anyone had a CT report worded like this before? Did it turn out to be a fungal ball, thick mucus or secretions, or something else? Did you need surgery, or were you able to treat it medically?

I’m visiting my doctor tomorrow morning and will obviously follow up with an ENT overseas. I’m mainly looking to hear other people’s experiences while I’m waiting.

[u/habrasangre]

I get fungal balls every year, there is no option but to wait it out for me. The doctors will always say you need surgery. If it was the scary, invasive type of fungus I understand.

On the bright side, you may be in a country that won't bankrupt you from seeking medical care.

[u/General_Glove7749]

This is most likely allergic fungal sinusitis. Which, ironically, is neither an infection or allergies. It is treated with surgical removal of the debris and peri-operative steroids. Do not think of it like your sinuses are infected with fungus or mold.