MedPix® Patient Chart - Case No: 10684 :: Imaging - Review Images

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History

Age: 25 :: Gender: woman

Patient History

25 y.o. woman with a two day history of painful and swollen right eye. Brought in by her spouse, she denies any history of trauma.

Exam


Physical Exam and Laboratory

Periorbital edema and erythema around the right eye and orbit.


Findings


Summary of Findings

• Mixed signal intensity mass, probably arising from the right orbital roof.
• The lesion has some small areas - some linear - of T1-shortening suggestive of blood products or perhaps lipid material.
• There is faint peripheral rim enhancement, that may be in the surrounding tissue, or a rim of this lesion.
• No internal contrast enhancement


Diffferential


Differential Diagnosis

• Subacute blood products - hematoma
• Atypical Lipoma
• Epidermoid tumor
• Dermoid cyst
• Mucocele of frontal sinus
• Metastatic disease


Diagnosis


Diagnosis

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Treatment


Treatment and Followup

Treatment not available without Diagnosis

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Discussion

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Topic

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Case Contributor and Editor
Topic Author(s): 2LT Arash K. Momeni
Submitted by: Steven J Goldstein - Author Info
Case/Image Editor: James G. Smirniotopoulos, M.D. - Editor Info
Case Accepted: 2007-02-19 09:45:52-05 :: Revised: :: Submitted:
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