A very well written case, which would be of interest to many specialties, with a clear discussion and relevant references. It may be useful for readers to highlight that rhabdomyosarcoma is most common in the paediatric population and thereby making the presentation of this type of tumour in this case more unusual. Also mention of the reasoning behind mode of imaging includes the learning point “MR imaging is preferred to CT for diagnostic and follow-up investigation”. Most centres will have easier access to CT scanning and usually perform CT sinus imaging with such a presentation, as was done in this case, so it would be helpful to discuss features on CT than would make one consider further imaging. I believe this case to be fit for publication and enjoyed reading it.
Dr Emma Parish
Ninewells Hospital and Medical School, Dundee