Presentation
Periorbital pain and headaches, ? orbital abnormality. On MRI safety sheet states "tattooed eyeliner - top and bottom"
Patient Data
Age: 25 years
Gender: Female
From the case:
MRI artifact - tattooed eyeliner
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Axial T2 fat sat
Susceptibility artifact associated with the eyelids bilaterally. This obscures the globes anteriorly. The patient felt no ill-effects from MRI.
Case Discussion
Tattoo inks contain many heavy metals including titanium dioxide, lead, chromium, nickel and iron oxides. These can cause susceptibility artefact on MRI. They are usually non-ferromagnetic thus cause no heating or movement if injected into the eyelids as a liner.