Sinus issues mucous build up in nose and post nasal drip. do I need surgery

Male
32
Sinus issues , mucous build up in nose and post nasal drip. Every morning coughing up mucous and blowing nose.

From the CAT scan report attached – do you think I would require surgery and if so what ?
Would there medications I could take instead.

I am currently using Nasal Saline solution for the past 6 months



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