Orbital dermoid (extraconal)

Case contributed by Wen Jak Ma
Diagnosis almost certain
mri
This study is a stack
Axial
Axial
T1 C+
Axial
T2
Axial
T1
Coronal T2
fat sat
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Right posterosuperolateral mass. Bright T1 and T2 content suppressed on fat-suppression sequence, dark T1/T2 rim. Mild thinning of adjacent bone. Ring enhancement usually reflects local inflammatory response.

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Thinning of adjacent bone.

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