A Clinical Update and Radiologic Review of Pediatric Orbital and Ocular Tumors
Figure 15
17 years old with acute worsening of left eye proptosis secondary to intralesional hemorrhage. MR axial T2-weighted fat-saturated (a) and coronal T2WI (b), axial T1-weighted fat-saturated image (c), and postcontrast T1-weighted fat-saturated image (d) showing a lobulated, trans-spatial mass with fluid-fluid levels, and trace rim enhancement (white arrows). The fluid-fluid levels are due to intralesional hemorrhage and are almost pathognomonic for a VLM. The lesion was treated with sclerotherapy using bleomycin and sodium tetradecyl sulfate (e).
