Eye pain OD>OS, vision changes, and questionable extraocular muscle restriction: Evaluate for thyroid eye disease with nerve involvement versus orbital pseudotumor versus scleritis. Right: There is diffuse enhancement and high T2 signal of the right orbital fat. There also appears to be mild thickening and enhancement along the posterior right globe. There is no evidence of abscess. The optic nerve, lacrimal gland and extraocular muscles are unremarkable. The superior ophthalmic vein appears to be patent.Left: The left globe, optic nerve, and lacrimal gland, and extraocular muscles are unremarkable. There is no evidence of abnormal enhancement or mass lesions in the left orbit. The superior ophthalmic vein appears to be patent.
1. Findings suggestive of right orbital inflammatory or infectious cellulitis, perhaps associated with scleritis.2. No findings specific for thyroid eye disease.