External angular dermoid cyst

Case contributed by Tariq Walizai
Diagnosis almost certain

Presentation

Left-sided periorbital swelling along with blurred vision for 3 weeks.

Patient Data

Age: 20 years
Gender: Female
This study is a stack
Axial
non-contrast
This study is a stack
Coronal
non-contrast
This study is a stack
Sagittal
non-contrast
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Info

A well-defined fat density mass lesion with mean density of about -134 HU, is noted involving the lateral margin of the left orbit, medially the mass lesion is abutting globe and lateral rectus muscle without any CT detectable invasion. The overlying skin appears intact. No bony destruction is noted.

Right globe and orbit appear normal.

Imaged brain parenchyma appears unremarkable without intra-cranial extension.

Case Discussion

The age of the patient and location of the lesion with imaging findings are more in favor of dermoid cyst as detailed.

Co-contributor Dr, Anwar-ul-haq Zadaran.

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