Metallic orbital foreign body on MRI

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Presented for routine brain MRI for long-standing headaches. Answered "no" on the safety sheet for past history of metal in the eyes or metal worker.

Patient Data

Age: 60 years
Gender: Male
  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

An image that induces panic in any MRI technician: marked susceptibility artifact due to metal projected over the left orbit, causing distortion to the image.

Small, rounded, metallic foreign body outside the globe in the inferior eyelid without gross artifact on CT.

Case Discussion

An absolute contraindication to MRI is the presence of a metallic foreign body in the globe.  In this case, there was extreme concern on the initial MRI imaging (it was immediately terminated on seeing this artifact), but fortunately CT showed the metal to be outside the globe and the patient suffered no ill effects.

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