眼眶结核MRI表现1例

发布时间：2018-05-24 06:26

本文选题：眼眶 + 结核　；参考：《中国医学影像技术》2014年07期

【摘要】：正患者男,46岁,因"右眼局部红肿,眼分泌物增多6个月"入院。专科检查:右眼上睑红肿,压痛(+/-),睑裂较左眼缩小,未扪及明显肿块。右眼结膜内眦部球结膜见0.5cm×0.5cm大小新生物,色红,表明光滑,带蒂,活动度好。右眼眼球稍向外突出,眼球向各个方向运动受限,眼眶有压痛,指测眶压明显增高。MRI:右眼球突出,右上直肌群明显增粗,呈肿块样改变,边缘模糊,T1WI呈稍低信号,T2WI呈稍高信号;右外直肌、内直肌轻度增粗,右上睑软组织增厚;增强扫描病变呈显著不均匀强化,右上直肌内可见环形强化(图1)。穿刺活检病理学诊
[Abstract]:The patient, aged 46, was admitted to hospital because of local redness and exudation of the right eye for 6 months. Special examination: right upper eyelid redness, tenderness (P-U, eyelid fissure is smaller than left eye, not palpable mass. The bulbar conjunctiva of the inner canthus of the right eye showed the size of 0.5cm 脳 0.5cm, which was red, smooth, pedicled and with good activity. The right eye slightly protruded outward, the eye movement in all directions was limited, the orbital pressure was obviously increased. MRI: the right ocular bulb protruded, the right superior rectus muscle group thickened obviously, and the margin was slightly lower on T 1WI and slightly hyperintense on T 2WI. Right lateral rectus muscle, medial rectus muscle slightly thickened, right upper eyelid soft tissue thickening, contrast-enhanced lesions showed significantly uneven enhancement, ring enhancement could be seen in right superior rectus muscle (Fig. 1). Biopsy pathology
【作者单位】：中南大学湘雅二医院放射科;
【分类号】：R445.2;R529.8

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