IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Orbital lymphangioma

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Swelling and proptosis in right eye

Patient Data

Age: 2 years
Gender: Female
mri

Intraorbital, predominantly extraconal lesion is seen at superior aspect of right orbit, measuring approx. 28 x 19 x 19mm (AP x TD x CC). Lesion shows multiple bloods – fluid levels with internal septations. It is displacing right globe, superior rectus muscle inferiorly and causing mild proptosis. Right superior oblique muscle is not well visualized and is likely compressed, displaced inferomedially. Mild intraconal extension of lesion is seen between
superior and medial rectus muscles with indentation of anterior intraorbital segment of right optic nerve. Lesion is just indenting medial rectus muscle medially.
Minimal possible extension of lesion is also seen along medial aspect of right orbit along lateral aspect of medial rectus muscle.
Bilateral optic nerves show normal signal intensity.
Extraocular muscles are normal on left side.

Case Discussion

Findings are suggestive of lymphangioma.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.