SPHENOID WING MENINGIOMA WITH EXTENSION INTO THE RIGHT ORBIT

MRI brain

a well defined iso to hyperintense lesion is seen involving the right temporal lobe evident on T2 WI and iso intense on T1WI.

the lesion is extra axial and shows mass effect and mild midline shift.

post contrast sequences reveal homogenous enhancement of the lesion with some nodularity on its posterior aspect.

the lesion is extending into the right orbit into the extraconal compartment and resulting in right non axial proptosis by pushing the eyeball outwards.

the lesion shows local extension into the covering soft tissues of the right temporal area

the above findings suggest possibilty of sphenoid wing meningioma with extension into the right orbit.