Bilateral dacryocystitis and dacryocystocele
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At the time the case was submitted for publication Shervin Sharifkashani had no recorded disclosures.View Shervin Sharifkashani's current disclosures
Bilateral epiphora and medial canthus painful soft tissue bulge more prominent in right side.
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Bilaterally distended lacrimal sacs are more pronounced on the right side, relatively thickened lacrimal sacs more pronounced on the right side, dense fluid in the left lacrimal sac is more consistent with hemorrhage, and fluid in the left mastoid and middle ear are seen. Right eye temporal deviation is also seen.
The case illustrates the typical non-contrast MDCT features of bilateral and asymmetric dacryocystitis and dacryocystocele which being bilateral is relatively rare.