The purpose of this project was to examine the anatomy and pathology of the paranasal sinuses as seen by MR imaging. This was accomplished through correlations of MR images of normal volunteers with matched cadaver whole organ cryosections. The information obtained by MRI was compared to that of plain films and CT in the detection of a variety of conditions affecting the paranasal sinuses. The majority of the pathological processes could be quite adequately imaged by T1 weighted pulsing sequences. When more tissue specific information was required in some infiltrating malignant lesions, T2 weighting pulsing sequences are quite helpful for tumors that crossed the subarachnoid space into the central nervous system or in characterizing tissues in airless sinuses. Other than the single case of osteoid osteoma where X-ray studies were superior, magnetic resonance provided equal or superior information to the X-ray examinations.