PMC5437950_01
Image showing right sided peri-orbital swelling.
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Local examination revealed presence of peri-orbital swelling in the right eye with restricted eye movements ( Figure 1).
Image showing abnormal hyperostotic changes within the right orbit in the computed tomography scan.
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Radio-imaging of the patient's orbits revealed the presence of hyperostotic changes in theright orbit, with presence of enhancing lesions on the right globe with extension to the para-nasal sinuses and also invasion along the dural base in the anterior cranial fossa ( Figure 2 and Figure 3).
Image showing enhancing lesion in the right globe (black arrow) with extension to para-nasal sinuses (brown arrow) and invasion to the dura of anterio cranial fossa (white arrow).
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Radio-imaging of the patient's orbits revealed the presence of hyperostotic changes in theright orbit, with presence of enhancing lesions on the right globe with extension to the para-nasal sinuses and also invasion along the dural base in the anterior cranial fossa ( Figure 2 and Figure 3).
Chest X-ray showing elevated right hemi-diaphragm (white arrow) and right para-hilar mass.
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Figure 4). Further evaluation through chest computed tomography confirmed the finding of a right para-hilar mass ( Figure 5).
Chest computed tomography revealing presence of right para-hilar lung mass (white arrows).
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Figure 4). Further evaluation through chest computed tomography confirmed the finding of a right para-hilar mass ( Figure 5).
Fine needle aspiration cytology from the lung mass revealing the presence of malignant cells.
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Ultrasound guided fine needle aspiration cytology (FNAC) from the lung lesion revealed findings suggestive of a malignant lung disease ( Figure 6).
Computed tomography image revealing the presence of invasion of para-nasal sinuses by the lesion.
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Diagnostic biopsy from the nasal endoscope confirmed the metastatic nature of the disease from the lung ( Figure 7).