54-year-old male with cutaneous T-cell lymphoma. Presents with right eye swelling and purulent drainage. Please evaluate for orbital cellulitis, sinusitis or abscess. Images of the retroseptal space of both orbits remain within normal limits. There is no evidence of any edematous changes of retro-orbital fat. The morphology and density of the globe remains within normal limits bilaterally in both their anterior and posterior chambers. The lens are in normal location.The extraocular musculature and optic nerves remain normal bilaterally.Extensive periorbital preseptal soft tissue thickening anterior to the right orbit is identified. No definitive evidence of any cavity formation or a sinus tract can be identified. The paranasal sinuses are well pneumatized and demonstrate no evidence of acute or chronic sinus disease.Limited images through the brain parenchyma demonstrates large area of low density in the left frontal lobe with no definitive evidence of enhancement. There are no prior CT examination or MRI examination of the brain on this patient's radiology file. This above finding may represent an area of old stroke and encephalomalacia however this should be further evaluated with dedicated CT of brain or an MRI for better evaluation.
1.Extensive right-sided preseptal periorbital cellulitis. No evidence of abscess formation or a sinus tract2.No evidence of any retroseptal abnormality.3.No evidence of acute or chronic sinusitis..