MedPix® Patient Chart - Case No: 14125 :: Imaging - Review Images

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History

Age: 23 :: Gender: man

Patient History

23 year old man presents with sudden onset of left eye pain and proptosis

Exam


Physical Exam and Laboratory

Proptosis.
No chemosis.


Imaging

Imaging - Review Images for PT: 14125

Findings


Summary of Findings

• Well circumstribed intraconal mass on the left producing proptosis.
• Mass appears to have a thrombus in its posterior aspect.
• Mostly peripheral enhancement following contrast administration.
• No opacification of mass in either arterial or venous phase of angiogram


Imaging

Imaging - Review Images for PT: 14125

Diffferential


Differential Diagnosis

• Hemangioma
• Melanoma
• AVM


Imaging

Imaging - Review Images for PT: 14125

Diagnosis


Case Diagnosis

Dx: Orbit, varix partially thrombosed


Dx Confirmed by: Cllinical examination and MRI

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Followup


Followup and Treatment

Sclerosis therapy contemplated.

Topic


Approval is Pending

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History:
23 year old man presents with sudden onset of left eye pain and proptosis

Exam:
Proptosis.
No chemosis.

Findings:
• Well circumstribed intraconal mass on the left producing proptosis.
• Mass appears to have a thrombus in its posterior aspect.
• Mostly peripheral enhancement following contrast administration.
• No opacification of mass in either arterial or venous phase of angiogram

Differential:
• Hemangioma
• Melanoma
• AVM

Diagnosis:
Orbit, varix partially thrombosed
Confirmed by:Cllinical examination and MRI

Treatment and Followup:
Sclerosis therapy contemplated.

Discussion:

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Case Contributor and Editor
Submitted by: Steven J Goldstein - Author Info
Case/Image Editor: James G. Smirniotopoulos, M.D. - Editor Info
Case Accepted: 2012-04-13 14:13:14-04 :: Revised: 2012-04-13 11:41:11.610306-04 :: Submitted: 2012-04-13 11:41:11.610306-04
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