Presentation
Left proptosis.
Patient Data
Age: 30 years
Gender: Female
From the case:
Orbital cavernous hemangioma
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There is a well-defined left intra-orbital mass measuring 24 x 18 x 16 mm of intraconal location, lateral to the optic nerve which is compressed and displaced medially as well as the ocular globe anteriorly (proptosis grade I). It displays an intermediate signal on T1, high signal on T2 and FLAIR with progressive enhancement on postcontrast sequences with a complete fill-in on delayed postcontrast axial and coronal T1 fat sat sequences. The peripheral pseudocapsule is well-visualized as a low signal rim on T2 and GE sequences.
Case Discussion
MRI features are most consistent with an orbital cavernous hemangioma.
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