Legend Axial CECT scans of the orbits show soft tissue thickening and enhancement of the right preseptal tissues and the retrobulbar region, along with stranding of the remaining intraconal fat. Mild proptosis is also noted.

Legend Axial T2WI and FLAIR (right) images again show inflammatory changes within the orbital fat with diffusely thickened right sclera/choroid/retina with T2 hyperintensity (most apparent on FLAIR).

Legend Post contrast Axial and Coronal T1WIs with fat saturation show diffuse enhancement of the sclera/choroid/retina, as well as the pre-septal and retrobulbar tissues. The enhancement also extends posteriorly along the lateral rectus muscle and the adjacent extraconal space. Key words: ct mri infection inflammation orbit

ENT Diagnosis: Acute Scleritis