Plexiform neurofibroma of the infraorbital nerve

Discussion:

A lobulated and serpentine extra-conal soft tissue mass lesion creeping along the infero-lateral aspect of the right orbit and extending to the right infra-temporal fossa through a widened inferior orbital fissure; most likely representing a plexiform neurofibroma of the infra-orbital nerve with left basal ganglionic small demyelinating lesion is likely unidentified bright object (UBO) related to neurofibromatosis type I (NFI); for clinical correlation and chromosomal analysis / genetic counseling. 

Misdiagnosis of the facial plexiform neurofibroma with venolymphatic malformation is not uncommon.  

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