What's the alternative imaging for recurrent or complicated sinus pain when orbital or intracranial complication suspected?

Q: What's the alternative imaging for recurrent or complicated sinus pain when orbital or intracranial complication suspected?

CT — CT or MRI face/brain with IV contrast (iv contrast).

Imaging recommendation · Neuro · Head & Neck

Recurrent or complicated sinus pain

Recommended: CT Sinuses without contrast is the preferred imaging study for recurrent or complicated sinus pain. Routine acute sinusitis is a clinical diagnosis — no imaging needed.

Recommended study

CT Sinuses without contrast

CT No contrast Preferred Neuro · Head & Neck OutpatientAcute inpatient Reviewed 2026-05

Routine acute sinusitis is a clinical diagnosis — no imaging needed. CT for chronic / recurrent disease, failed therapy, or concern for complication (orbital cellulitis, intracranial extension).

If the default doesn't apply

Orbital or intracranial complication suspected

CT CT or MRI face/brain with IV contrast IV contrast