Multiple myeloma - orbit

Case contributed by Ali Hekmatnia
Diagnosis almost certain

Presentation

Painful proptosis of left orbit for several months.

Patient Data

Age: 65 years
Gender: Female
ct

Contrast-enhanced CT scan demonstrating a well-defined, rounded, avidly enhancing extraconal mass lesion in the superolateral quadrant of left orbit. There is mild proptosis. Bone window demonstrates multiple calvarial lytic lesions.

Case Discussion

Bone pain 2 years ago, with a final diagnosis of multiple myeloma confirmed by bone marrow aspiration. Now presented with orbital multiple myeloma.

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