External angular dermoid cyst

Case contributed by Tariq Walizai
Diagnosis almost certain

Presentation

Long-standing painless swelling in the right periorbital region.

Patient Data

Age: 15 years
Gender: Female
This study is a stack
Axial
non-contrast
This study is a stack
Coronal
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Sagittal
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Axial bone
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Info

A definable, fat density (-150 HU) lesion is noted in the subcutaneous tissues of the right external angular region.

No evidence of calcification. No intraorbital or intracranial extension is seen.

A small depression in the underlying frontal bone is seen as likely suggestive of remodeling due to the chronicity of the lesion. No widening of the adjacent right fronto-zygomatic suture.

Case Discussion

CT features of the above-mentioned lesion are more in favor of superficial external angular dermoid cyst.

Co-contributor: Dr. Anwar-ul-Haq Zadran.

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