Normal orbits series

Case contributed by Amanda Er
Diagnosis certain

Presentation

Left eye hematoma, poked by sharp end of a leaf. No active bleeding.

Patient Data

Age: 65 years
Gender: Male
x-ray

No gross radiodense foreign body is detected.

Case Discussion

This case is an example of a normal orbits series comprising of the Waters (OM0°) and lateral views.

The radiology department that the patient presented to has a protocol for localizing potential foreign bodies within the orbital region. This includes two Waters views (1. eyes gazing up, 2. eyes gazing down) and a lateral view. This may differ from other departmental protocols.

Allowing the eyes to be positioned with upward and downward gazes in the frontal view gives the opportunity for the reader to rule out any potential foreign body lodged within the orbits, or the bony structures of the facial bones and cranium.

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