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Orbital apex syndrome, pt RSM

CT

CT scan image (enhanced) demonstrating proptosis of the left eye, with opacification of the retroorbital area on the left, involving the optic nerve and medial ocular muscles. The bone appears normal, but the features are most consistent with infection, less so with a pseudotumour. Bone windows not shown. Biopsy demonstrated hyphal invasion and cultures grew A. fumigatus.


CT
Lower CT scan image again showing marked proptosis and complete opacification of the apex of the orbit with inflammatory material. The sinuses are clear.


CT

Lower CT scan image again showing inflammatory material at the apex of the orbit, without involvement of the sinuses.
CT
CT scan image further caudally, showing remarkable opacification of most of the orbit, without involvement of the sinuses.

© Fungal Research Trust

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