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CT scan, Eyes; can anyone help interpret the findings?

Hi Everyone,

I did a CT of my eye recently and wanted to know what the meaning of the findings were.

Here is the exact transcript of the findings

""""""""""""""""""""" "Narrative

CT ORBITS WITHOUT CONTRAST

INDICATION: Right inferior orbital pain

TECHNIQUE: Axial noncontrast CT scans of the orbits were performed. Sagittal
and coronal reconstructions were obtained. Dose reduction techniques were
utilized.

COMPARISON: CT head dated July 7, 2013.

FINDINGS:

There is bilateral exophthalmos. There is bilateral and symmetric enlargement
of the muscle bellies involving the inferior rectus, medial rectus and
superior rectus muscles with sparing of the myotendinous junction. There is enlargement of the lateral rectus muscles bellies bilaterally. There is enlargement of the right lacrimal gland. The left lacrimal gland
appears grossly normal in size.

The globes, optic nerves and superior ophthalmic veins appear symmetric and
unremarkable. No abnormal masses seen within either orbit. The orbital apices
and cavernous sinuses appear grossly unremarkable. No dominant soft tissue
collection is seen.

There is no evidence for orbital fracture.

The paranasal sinuses are clear. The mastoid air cells are clear. There is
pneumatization of the right petrous apex.

The visualized intracranial soft tissues appear age-appropriate. There is
calcification of the pineal gland.

IMPRESSION:

There is bilateral exophthalmos with bilaterally symmetric enlargement of the
extraocular muscle bellies and sparing of the myotendinous junction.

There is apparent enlargement of the right lacrimal
gland which may reflect lymphocytic infiltration. Otherwise, no significant
dominant fluid collection or orbital fat stranding.  """""""""""""""""""""""""


Any help would be appreciated. Thanks
1 Responses
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Avatar universal
Regarding the first part, exophthalmos is a fancy medical term for bulging/protruding eyeballs, more commonly secondary to infection/inflammation (including but not limited to entities such as Graves' disease of thyroid) versus less likely neoplasm (cancer). You should follow-up with your PCP for additional workup and management.

Regarding the second part, lacrimal glands are the glands that produce tears.
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