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Radiology Quiz Case 1
Nicolaas E. Jonas, FRCS(Glas);
Julian Page, MBChB;
William Mukonoweshuro, FRCR;
Steve Toynton, FRCS(ORL)
Derriford Hospital, Plymouth, England
Arch Otolaryngol Head Neck Surg. 2005;131:1116.
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A 15-year-old boy presented with a 5-month history of fullness around the medial canthus of his right eye that had recently enlarged. Physical examination revealed a painless, hard, smooth swelling affecting the medial part of the orbit, causing 5 mm of proptosis and lateral displacement of the globe. The nasal cavity appeared normal. The patient had no symptoms other than blurred vision. The corrected visual acuities appeared normal at 6/5 in each eye, with no diploplia and no abnormalities on funduscopy.
A computed tomographic scan showed a 3-cm lesion arising near the cribriform plate on the inferior aspect of the anterior skull base and extending along the inferior margin of the middle turbinate and superiorly into the right frontal sinus (Figure 1 and Figure 2). Extension into the right orbit displaced the globe and orbital . . . [Full Text of this Article]
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