Presentation
Known case of hyperthyroidism, complaining of painless proptosis and limitation of eye movement.
Patient Data
Age: 65 years
Gender: Male
From the case:
Thyroid-associated orbitopathy
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Minimal bilateral proptosis is noted.
Bilateral symmetrical enlargement with T2 hyperintensity and homogenous enhancement, of inferior rectus and medial rectus extraocular muscle bellies with sparing of their tendinous insertions (Coca-Cola bottle appearance).
Case Discussion
Features are consistent with thyroid-associated orbitopathy, however, it should be differentiated from orbital pseudotumor.
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