case_images: PMC4889789_01
case_images: Hard and cold edema of the lower left eyelid with discreet ipsilateral proptosis.
case_images: CRIOPM2016-6912927.001.jpg
case_images: PMC4889789_01_CRIOPM2016-6912927.001.jpg
case_images: fig1
case_images: Hertel exophthalmometry was used to measure the degree of ocular protrusion and the value obtained was 18,2 mm for the right eye and 25 mm for the left eye (Figure 1).
case_images: Coronal T1 fat-saturated postgadolinium: solid mass enhancing the gadolinium, located within retroconal, pre- and post-septal, and inferolateral regions.
case_images: CRIOPM2016-6912927.002.jpg
case_images: PMC4889789_01_CRIOPM2016-6912927.002.jpg
case_images: fig2
case_images: Magnetic resonance of the orbit showed left eye proptosis and thickening and increase of soft tissues associated with heterogeneous impregnation of contrast in the infralateral region of the left eyelid (Figures 2 and 3).
case_images: Axial T2-anterior projection of the left eye globe in relation to the contralateral.
case_images: CRIOPM2016-6912927.003.jpg
case_images: PMC4889789_01_CRIOPM2016-6912927.003.jpg
case_images: fig3
case_images: Magnetic resonance of the orbit showed left eye proptosis and thickening and increase of soft tissues associated with heterogeneous impregnation of contrast in the infralateral region of the left eyelid (Figures 2 and 3).
case_images: Extensive multifocal chronic granulomatous inflammation, with numerous epithelioid macrophages and multinucleated giant cells, without evidence of necrosis (HE 100x).
case_images: CRIOPM2016-6912927.004.jpg
case_images: PMC4889789_01_CRIOPM2016-6912927.004.jpg
case_images: fig4
case_images: Histology showed a chronic inflammatory process, well-formed, tightly packed, with nonnecrotizing granulomas surrounded by lamellar hyaline collagen, and negative immune-histochemistry for mycobacteria, providing histological confirmation of sarcoidosis (Figure 4).