Age : 17 years old Live in Najaf - alhuriya Patient presented with left side progressive nasal obstruction for one year duration which become bilateral in the last few months , aggravated by flu associated infrequently with rhinorrhea and sneezing Two months ago the pt underwent septoplasty operation but this operation failed to relieve his nasal obstruction Anterior rhinoscopy was normal Endoscopic examination shows posterior nasal mass above the level of the inferior turbinate extending to the floor of the nose , back to fill the nasopharynx and appear from the right choana CT native CT with contrast Postoperative