Presentation
Progressive left upper eyelid swelling and erythema.
Patient Data
Marked preseptal edema and discrete contrast enhancement in the area of the affected left upper eyelid. No circumscribed collection, or signs of bulbar or intraconal involvement (note the preservation of the normal intraorbital fat density). Altogether findings are in line with preseptal cellulitis, with no signs of deeper infiltrative process or abscess.
Opacification of the ethmoid air cells and left maxillary sinus, also involving the infundibulum of the latter. Bony irregularity and partial destruction of the wall of the affected sinuses, as well as the left middle turbinate, further ENT workup warranted.
Case Discussion
CT with or without contrast has limited spatial resolution in the orbital soft tissues, but can rule out postseptal involvement, or development of localized collections. Both are critical since presence of deeper spread radically changes patient management.
Unable to process the form. Check for errors and try again.