Skip to main content
Fig. 14 | Insights into Imaging

Fig. 14

From: Rhino-orbito-cerebral Mucormycosis: Pictorial Review

Fig. 14

ROCM-related ONI and endophthalmitis. Coronal CT image of the paranasal sinuses (a), obtained using the bone algorithm, reveals opacification of the maxillary sinuses, worse on the right. Axial CT image (b), using the soft tissue algorithm, demonstrates subtle right orbital fat stranding (dotted arrow) and mild right proptosis (arrow head). Axial T2-FS image (c) confirms the right orbital stranding (dotted arrow) and right proptosis (arrow head). Note the subtle tenting of the posterior aspect of the right globe (thin arrow) and thickening of the right optic nerve (thick arrow). Axial diffusion weighted (d) and apparent diffusion coefficient (e) images reveal restricted diffusion within the right optic nerve in keeping with an optic nerve infarction. Overall, findings of orbital compartment syndrome with endophthalmitis and optic nerve infarction was suggested. The patient underwent urgent surgery, with removal of the right lamina papyracae, for relief of the compartment syndrome. CE FS axial T1W image (f) reveals interim worsening of the right endophthalmitis (thin arrow)

Back to article page