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Br J Ophthalmol 84:251-258 doi:10.1136/bjo.84.3.251
  • Original Article
    • Clinical science

Radiological and clinicopathological features of orbital xanthogranuloma

Table 2

Radiological features on CT (and MRI in case 2) of nine patients with orbital xanthogranulomas

Case
number
Proptosis Globe displacement Mass characteristics Optic nerve Extraocular muscles Retrobulbar fat Lacrimal
glands
Bone
involvement
Intracranial extension
1 present downward partially enhancing infiltrative fat and soft tissue mass in right upper and  lower lid—extension around globe. Later left lower lid swelling normal right all enlarged increased density normal none none
2 present downward enhancing soft tissue mass and fat in right upper lid with extension posterior  to globe. Left lower lid swelling normal enlarged right superior rectus normal normal none none
3 present none right upper/lower preseptal soft tissue and fatty mass—posterior extension  around globe normal enlarged right lateral rectus normal normal none none
4 present downward heterogeneous density right soft tissue mass with single high density fleck encased superiorly infiltration of right superior rectus normal normal present present
5 absent none bilateral soft tissue and increased fat in upper lids—extension into superior orbits normal early infiltration of superior recti normal bilateral enlargement none none
6 present none bilateral infiltrative soft tissue masses in upper lids with increased fat; calcified  fleck in left mass normal enlarged superior recti and left lateral  and medial recti normal left enlarged none none
7 present downward infiltrative right soft tissue mass normal enlarged right superior rectus normal right enlarged none none
8 present none right upper/lower preseptal soft tissue mass and prolapse of retrobulbar fat normal enlarged right superior and inferior recti increased density right enlarged none none
9 absent none right upper/lower preseptal soft tissue thickening normal enlarged right lateral rectus normal right enlarged none none

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