Presentation
Pain with periorbital edema of the right eye.
Patient Data
Age: 50 years
Gender: Female
From the case:
Orbital and periorbital cellulitis
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Soft-tissue thickening with small collection and area of enhancement anterior to the right orbital septum in keeping with a preseptal periorbital cellulitis.
Inflammatory stranding of the intraconal fat mainly around the optic nerve with enhancement which may indicate an associated postseptal orbital cellulitis.
Normal appearance of the extraocular muscles. The paranasal sinuses are clear. No obvious intracranial abnormality.
Case Discussion
MRI features are most consistent with an orbital infection associating a preseptal periorbital cellulitis and postseptal orbital cellulitis.
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