Bilateral pronounced proptosis, enlargement of all extraocular muscles containing hypodense foci, enlarged and prolapsed lacrimal glands, and remodeling of orbital medial walls due to enlarged medial rectus muscles on both sides are seen. Crowding of the apex of orbits is noted. Enlarged orbital fat with bulging within eyelids is seen. Preseptal soft tissue swelling more in lower eyelid is also noted.