Thanks for this question and for including CT images. As a rule, I take a thorough history, a complete examination and a full review of all images before making any conclusions. You should have an ENT and radiologist review your films to make sure everything normal and abnormal on the scan is identified.From the limited number of images, you have a bony spur of the mid-septum shown on the CT. This spur can impinge on the turbinate that is nearby and cause "contact point" pain. Your ENT can place lidocaine on the area in the office. If numbing that area resolves your pain, then likely a septoplasty is your answer. It may be helpful to see a neurologist as well to evaluate the pain if the ENT cannot clinch the diagnosis.Regarding your tearing, it is possible that you have a headache condition or a rhinitis (vasomotor) that is underlying your eye watering. It may be helpful to see an opthhalmologist to look at the eye, tearing, and ducts to make sure everything is in normal working order. Best of luck from Manhattan.
