Presentation
Punch to the left eye. Tender.
Patient Data
Age: 25 years
Gender: Male
From the case:
Orbital blow out fracture - teardrop sign
![](https://prod-images-static.radiopaedia.org/images/54027870/Screenshot_2020-12-08_at_16.15.03_thumb.jpeg)
![](https://prod-images-static.radiopaedia.org/images/54027871/Screenshot_2020-12-08_at_16.15.21_thumb.jpeg)
Download
Info
![](https://prod-images-static.radiopaedia.org/images/54027870/Screenshot_2020-12-08_at_16.15.03_big_gallery.jpeg)
Teardrop spaced opacity projected over the left maxillary sinus immediately below the inferior orbital wall.
No black eyebrow sign.
Case Discussion
The typical plain radiograph appearances of a teardrop sign observed in inferior orbital wall fractures. This represents intraorbital fat (+/- inferior rectus muscle) which has protruded through an inferior orbital wall fracture.
This type of radiograph may feature in a rapid reporting examination set for the FRCR or other fellow examinations.