A rapidly enlarging left medial orbital lesion
IMAGES IN MEDICINEA 49-year-old man presented with a 2-month history of a rapidly enlarging left medial orbital mass. There was no local inflammation, pain, discharge, visual or nasal symptoms. On examination, there was a firm mass bulging between the left nasal bone medially and the left eye measuring 2x1cm in dimension (Fig. 1), with no overlying skin paresthesia or cervical lymphadenopathy. No punctum was seen. Nasoendoscopy was normal.There was no ophthalmoplegia or exophthalmos on clinical examination.