We describe the imaging features of a capillary hemangioma of the orbit at presentation (computed tomographic scan done at 27 weeks) and after regression (magnetic resonance scan done at 9 years). The primary scans demonstrate the typical contrast enhancing lesion of the orbit, whereas the MR scan of the regressed lesion demonstrates a fibro-fatty lesion with some flow voids.
Presenting symptoms of malignant orbital lymphoproliferative disorders extending from the paranasal sinuses include mass effect occasionally with infiltrative and inflammatory characteristics accompanied by symptoms of sinus disease. On imaging, a soft tissue mass in the sinuses and orbit with bone destruction is commonly seen. Biopsy is essential for conclusive diagnosis. Treatment should be initiated promptly as local symptoms are frequently relieved and survival is possible, especially in cases of NHL.
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