PMC10448924_01
Orbital CT without contrast demonstrating soft tissue swelling
IJHOSCR-17-56-g001.jpg
PMC10448924_01_IJHOSCR-17-56-g001.jpg
F1
A CT of the orbits without contrast demonstrated periorbital soft tissue swelling with abnormal soft tissue density material in the lateral extraconal space without evidence of maxillary, ethmoid, sphenoid and frontal sinusitis (Figure 1). Complete blood count and inflammatory markers including c-reactive protein and d-dimer were trended throughout hospitalization (Figure 1). Hospitalization was prolonged to a total of eight days due to persistent twice daily fever spikes (Figure 1).
MRI of orbits and facial bones, T1 vibe axial images pre-(A.) and post-contrast (B.). Periorbital stranding (R>L) with extension into bilateral extraconal spaces and apparent lateral rectus involvement
IJHOSCR-17-56-g002.jpg
PMC10448924_01_IJHOSCR-17-56-g002.jpg
F2
Imaging revealed periorbital fatty stranding (right more so than left) with extension to the bilateral extraconal spaces and apparent involvement of the lateral rectus muscles (Figure 2).