EURORAD ESR

Case 14278

Congenital orbital teratoma in fetal MRI

Author(s)
Dewi Asih Wirasasmita1, Gatot Abdurrazak2

1.Premier Jatinegara hospital, Jl Bekasi Timur Raya no. 87, Jatinegara. Jakarta Timur, Indonesia; Email:dewi_wirasasmita@yahoo.com.
2. Gatot Abdurrazak. Women and Children Harapan Kita Hospital, Jl Letjen S Parman. Kav 87, Slipi Jakarta Barat 11420? Indonesia;Email Gabdurrazak@yahoo.com.
 
Patient
female, 1 week(s)
 
 
  • Figure 1
    Fetal MRI, sagittal

    Mass at posterior aspect left eye globe. No intracranial extension.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 2
    Fetal MRI
     

    Enlargement of the left globe, with a mass at its posterior aspect extending through the optic canal.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Enlargement of the left globe with a solid mass at its posterior aspect.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Disproportionate enlargement of the occipital horns of the lateral ventricles.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 3
    Orbital CT Scan

    Axial CT reveals enlargement of the left orbit containing a predominantly cystic mass. Minor associated calcification in the posterior globe. No identifiable lens or anterior chamber.

     
    Area of Interest: Eyes; Imaging Technique: CT; Procedure: Perception image; Special Focus: Congenital;
     
     
  • Figure 4
    Follow up MRI
     

    Axial T2W: left orbital cystic mass with well defined margins and a solid component at its posterior aspect. No globe separately identified.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Axial T2W fatsat: no suppression noted. Extraconal optic nerve extends posteriorly from the mass.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Axial T1W: hypointense lesion with well defined border.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Sagittal T1W: solid component noted at the posterior aspect of the cystic orbital lesion. No intracranial extension. Extraconal optic nerve projecting posteriorly from the mass. No globe separately identified.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Axial T1W: dilated posterior horns of the lateral ventricles with a 'figure 11' (agenesis corpus callosum)

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 5
    clinical photograph

    Large erythematous mass filling the entire left orbit. Bulging upper eyelid.

     
    Area of Interest: Eyes; Imaging Technique: Image manipulation / Reconstruction; Procedure: Computer Applications-General; Special Focus: Congenital;
     
     
Mass at posterior aspect left eye globe. No intracranial extension.
 
Enlargement of the left globe, with a mass at its posterior aspect extending through the optic canal.
 
Enlargement of the left globe with a solid mass at its posterior aspect.
 
Disproportionate enlargement of the occipital horns of the lateral ventricles.
 
Axial CT reveals enlargement of the left orbit containing a predominantly cystic mass. Minor associated calcification in the posterior globe. No identifiable lens or anterior chamber.
 
Axial T2W: left orbital cystic mass with well defined margins and a solid component at its posterior aspect. No globe separately identified.
 
Axial T2W fatsat: no suppression noted. Extraconal optic nerve extends posteriorly from the mass.
 
Axial T1W: hypointense lesion with well defined border.
 
Sagittal T1W: solid component noted at the posterior aspect of the cystic orbital lesion. No intracranial extension. Extraconal optic nerve projecting posteriorly from the mass. No globe separately identified.
 
Axial T1W: dilated posterior horns of the lateral ventricles with a 'figure 11' (agenesis corpus callosum)
 
Large erythematous mass filling the entire left orbit. Bulging upper eyelid.
 
 
 
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