Case contributed by Shervin Sharifkashani


Painful left side medial canthus soft tissue bulge and epiphora.

Patient Data

Age: 55 years
Gender: Male

Left side cystic infected, and thick wall lacrimal sac with preseptal and lacrimal gland soft tissue swelling and adjacent deeply situated small bone defect are seen.

Case Discussion

The case illustrates the non-contrast MDCT features of the dacryocystitis which is infected dacryocystocele and is usually due to nasolacrimal duct obstruction. The most common presentation in long-term cases is medial canthus soft tissue bulge and epiphora.

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