Legend There is diffuse soft tissue swelling of the periorbital region, especially on the right. Gas is noted within the inferior portion of the right orbit. Fractures of the medial portion of the orbital walls are noted bilaterally.

Legend Direct coronal images demonstrate disruption of the inferior wall of the right orbit with a bone fragment projecting up into the orbital cavity on the bottom right image. Key words: orbit trauma

ENT Diagnosis: Old orbital blow-out fractures of both medial walls. New blow-out fracture of right orbital floor.