case_images: PMC5345509_01
case_images: Magnetic resonance imaging: Coronal T2 TSE sequence (A) and coronal SE T1 sequence with fat suppression (B), showing expansive lesion of probable bone origin with intraorbital development, which appears isointense in T2 and shows contrast enhancement on T1 fat-suppressed sequence (white arrows).
case_images: jkcvhl-3-11-g001.jpg
case_images: PMC5345509_01_jkcvhl-3-11-g001.jpg
case_images: F1
case_images: The deforming upper-side of the eyeball incorporated the lacrimal gland with no safe cleavage planes from the upper rectus, lateral rectus and the upper eyelid muscle. They were completely incorporated into the lesion (Figure 1). Total body computed tomography (CT) showed numerous secondary mediastinal lymphadenopathy that were bilateral hilars (diameters right 13 x 23 mm and left 36 x 23 mm) or subcarinal (diameters 39 x 25 mm).
case_images: CT: axial scans during arterial (A) and venous (B) phases and coronal scan during venous phase (C) of the abdomen, show expansive lesion, partially exophytic, located in the upper pole of the left kidney (diameters 72 x 56 x 70 mm) with necrosis in the context (white arrows); it also observes repetitive lesion of the right adrenal gland body (diameter 20 mm) (A and B) (yellow arrows).
case_images: jkcvhl-3-11-g002.jpg
case_images: PMC5345509_01_jkcvhl-3-11-g002.jpg
case_images: F2
case_images: At the upper pole of the left kidney was a partially exophytic lesion (diameters 72 x 56 x 70 mm), which marked the upper caliceal group, with contextual necrotic phenomena (Figure 2). Locoregional lumbar-aortic lymphadenopathy with a maximum diameter of 20 mm, two repetitive lesions at the body (diameter 21 mm) (Figure 2A and B) and medial arm (diameter 10 mm) of the left adrenal gland, and nodulation of 8 mm in diameter in the right adrenal gland were also seen.