MedPix® Patient Chart - Case No: 2470 :: - Review Images

9 month history of right eye proptosis and vertical diplopia. The patient denies eye pain, headache, or decrease in visual acuity. She denies weight loss, palpitations, skin changes, heat intolerance, or tremor. She denies any history of ocular trauma or sinus infections.

Proptosis, eyelid retraction, eyelid lag on downward gaze, and restriction with elevation and abduction.

- Review Images for PT: 2470

Enlarged, enhancing right inferior rectus muscle. The insertion of the muscle onto the globe is spared. There is mild stranding of the surrounding orbital fat.

- Review Images for PT: 2470

• Orbital myositis
• Thyroid ophthalmopathy
• Metastatic disease
• Orbital pseudotumor
• Lymphoma

- Review Images for PT: 2470

You are Viewing this Case in Quiz Mode - the Diagnosis (and validation) are visible with the case [Answer]