Question:   A 34 year old female is referred to you for incidentally discovered left maxillary sinus opacification.  The patient has no sinonasal complaints.  Oral examination shows good dentition without tenderness to percussion of any maxillary teeth.  Close facial examination reveals mild asymmetry with a slightly depressed malar eminence on the left side.  Ophthalmologic examination shows diplopia in two directions of gaze.  What is your diagnosis?   [Answer will be posted with next week's new question]

Answer to last week's question, Putting 2 and 2 together... (February 15, 2016): 

VACTERL association.