MRI of the brain demonstrates a left, well circumscribed, intraconal mass with T1WI and T2WI signal intensity isointense to cerebral cortex. After administration of gadolinium based contrast, the mass showed thin smooth rim enhancement with a predominately non-enhancing central component consistent with thrombosed orbital varix. Incidentally, also revealed is a small homogeneously enhancing mass in the right orbit that is a smaller patent orbital varix.