Retinoblastoma

Case contributed by Hani Makky Al Salam
Diagnosis probable

Presentation

Left exophthalmos and leukocoria

Patient Data

Age: 2 years
Gender: Female

Skull

x-ray

Rounded soft tissue opacity is noted over and below the left orbit.

Calcific densities are noted at the left orbit.

ct

Proptosis of the left globe with a heterogeneous enhancing intraconal mass with calcifications arising from the posterior of the globe. It extends anteriorly into the globe and posteriorly through the optic canal into the suprasellar region with widening of the optic foramen. Rounded soft tissue opacity is noted over and below the left orbit. Mild supratentorial hydrocephalus changes are noted. Internal carotid arteries are well opacified. No bone involvement. Right orbit and the globe are normal. No suspicious mass at the pineal gland. Brain parenchymas are otherwise normal.

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