Female, 11 years old, with history of acute lymphoblastic leukemia, presenting with the right eye conjunctival lesion. Need to evaluate for ophthalmologic or CNS lesions. The cerebral and cerebellar hemispheres and brainstem show normal signal intensity and morphology. No restricted diffusion is seen. No pathologic parenchymal or extra-axial enhancement is seen.No evidence of parenchymal edema, mass, or mass effect is seen. There is no evidence of intracranial hemorrhage or abnormal extra-axial fluid. The ventricular system is normal in caliber and morphology. Signal intensity of the bone marrow is unremarkable. No significant abnormalities of the paranasal sinuses are detected.Mild thickening, edema and hyperenhancement of the right eyelid is seen. However, no intraorbital abnormalities are detected. Globes are round and symmetric. The extraocular muscles demonstrate normal morphology and enhancement. The optic nerves are free of pathologic signal abnormality and enhancement. The lacrimal glands are symmetric and normal. The intraconal fat is clean.
1.Nonspecific thickening and inflammation of the right eyelid is seen.2.Examination of the brain and orbits is otherwise within normal limits.