Computerized tomography (CT) offers the gold standard in terms of imaging t
he extent of disease and the fine detailed anatomy, both pre-requisites to
the safe practice of endoscopic sinus surgery. Neither plain X-rays nor mag
netic resonance imaging (MRI) offer optimal information in this respect. A
variety of protocols minimizing radiation dose to the lens whilst providing
high quality images are presented together with a menu of anatomical featu
res that require careful evaluation pre-operatively.