PMC7494786_01
Patient image showing proptosis with facial asymmetry and ophthalmoplegia (patient asked to look down), respectively.
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The magnetic resonance image (MRI) of the brain revealed a tissue occupying the left superior orbital fissure intraconal fat, with invasion of the left orbit, determining nerve compression (Figs. 4 and 5 ). There was also heterogeneity of the whole sphenoid bone with hyperintensity on T2/FLAIR images and contrast enhancement (Figs. 4 and 5), tissue thickening and enhancement around the left temporo-mandibular articulation, besides contrast enhancement on the trajectory of the left facial nerve.