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A 42-year-old female presents with a history of chronic rhinorrhea. She reports a left-sided clear rhinorrhea for the past 3 years. The rhinorrhea persists throughout the year. There is no nasal obstruction or smell disorder. She denies any history of head trauma. She has received several courses of antibiotics and steroid nasal sprays with no success. She also complains of chronic headache and of pulsatile tinnitus. She brings a recently performed sinus computed tomography (CT) scan.
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