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As on CT, tumour deposit in left lateral orbital wall, approximately 4 cm. Irregular spiculated sclerotic centre. Enhancing soft tissue components, and of the adjacent dura. Abutment of the pterygopalatine fossa but no direct extension. No abnormal enhancement of the maxillary trigeminal division or cavernous sinus.
Displaced lateral rectus muscle and inseparable but likely displaced superior rectus muscle. Distorted optic nerve with effacement of the optic sheathe but normal nerve signal at the orbital apex.
Similar characteristics in left occipital bone, and further possible lesion in right mandible.