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| CT post-contrast | CT post-contrast |
Diagnosis: Lymphangioma
Lymphangiomas are congenital tumors of children and young adults. They tend to grow slowly and infiltrate the orbit rendering them difficult to resect completely and are more commonly seen in the extraconal space. They have a lobulated appearance with rare calcification. Hemorrhage is a common complication and enhancement is variable. Capillary hemangiomas are also lobulated orbital masses seen in childhood. They usually intensely enhance and may also show calcifications. The superior nasal quadrant is the most common location of capillary hemangiomas. Involution usually occurs in the first year of life. The age and lobulated appearance go against mets and lymphoma. Pseudotumor is unlikely due to the age and lack of inflammatory changes in the fat of the orbit. This is a presumed case. Related Cases
