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Figure 1 | BMC Pediatrics

Figure 1

From: Isolated enophthalmos: an uncommon gateway to orbital tumors in pediatrics: 9 month-old female presenting with isolated enophthalmos as the unique sign of a metastatic orbital tumor: a case report

Figure 1

CT Scan showing enophthalmos of the right eye and the causal neoplastic process. a. CT cross-section showing a backwards displacement of the right eye comparatively to the left eye (Vertical white arrows). The baseline white bar does not sit on the lateral bony wall edge on the right side because of the osteolytic neoplastic process that compromises the integrity of the right zygomatic arch making it seem smaller but thicker and more heterogeneous (Black star, also in Figure 1b). The quality of the baseline bar’s horizontality was ensured by comparing it with the horizontal black double arrow that serves as point of reference. b. CT scan showing irregularly shaped osteolysis of both orbital walls, malar bones and zygomatic arches (Black star on the right side) with periosteal reaction. The orbital cavity seems to be increased on the right side as compared with the left side. The osteolytic process induces cracks and fractures on the inferior wall of the right orbit (White arrows), and the osteocondensation with bone neoformation at the superior wall of the left orbit (white arrow) associated with soft tissue inflammation, denotes less space available for the right globe as compared with the left globe, which could explain the enophthalmos of the right eye.

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