Orbital cellulitis possible orbital abscess: left orbital pain and blurry vision. There are secretions and moderate mucosal thickening diffusely throughout the left frontal anterior ethmoid, and maxillary sinuses. There is a defect in the left lamina papyracea with mild protrusion of the orbital contents, which is more conspicuous on the recent CT. There is high T2 signal and enhancement within the medial left orbital fat, mainly confined to the extraconal space. There is no evidence of intraorbital fluid collection. The left superior opthalmic vein demonstrates normal enhancement and the left globe and optic nerve appear to be intact. The right orbit appears unremarkable. The right maxillary and ethmoid sinuses and bilateral sphenoid sinuses appear unremarkable. There are several subcentimeter retention cysts in the adenoids. The imaged intracranial contents appear unremarkable.
Left osteomeatal unit pattern of sinusitis and medial left orbit cellulitis associated with a lamina papyracea defect, but no evidence of orbital abscess.