28-year-old male with Tracheobronchopathia Osteochondroplastica presenting with expectoration, breathlessness and wheezing. (A) Non-contrast coronal CT image of paranasal sinus shows soft tissue opacification of bilateral maxillary sinuses with atrophy of all nasal turbinates (white arrows). (B) Soft tissue opacification of sphenoid sinus with sclerosis of bony walls (arrows). (64-Channel Multidetector Brilliance CT, Philips Medical systems, 120 kV, 400 mAs, 1.0 mm coronal reformation and window width/level of 2500/700 HU)