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Orbital Metastasis

This patient presented with left proptosis, ptosis and loss of sensation in V1 distribution. Coronal gadolinium-enhanced fat-saturated T1 ...

orbital_metastasis

This patient presented with left proptosis, ptosis and loss of sensation in V1 distribution. Coronal gadolinium-enhanced fat-saturated T1 image shows an enhancing mass at the orbital apex and involving the sphenoid bone. A second skull base lesion was present on the right. A chest x-ray showed upper lobe collapse with Golden’s S sign, and multiple bilateral pulmonary nodules. A diagnosis of primary bronchogenic carcinoma with pulmonary and skull base metastases was made.