A 35-year-old male complained of recurring headache and nasal obstruct
ion over a 4-year period. A Caldwell-Luc operation was subsequently pe
rformed on the left maxillary sinus and a greenish appearing material
was removed. Microscopic examination of the tissue specimen showed a g
ranulomatous tissue with typical cholesterol clefts and inflammatory c
hanges consistent with chronic sinusitis. This entity is presented and
reviewed.