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Vol 127, No 11, November 2009

Archives Clinical Challenge: You Make the Diagnosis

Figure 1. Images of the patient. A, Postgadodiamide spin-echo T1-weighted axial magnetic resonance image with fat saturation showing pronounced thickening and enhancement of the left preseptal soft tissue, left conjunctival thickening, inflammation extending into the postseptal extraconal fat around the left medial rectus, and left-sided retrobulbar fat stranding and enhancement. R indicates right; P, posterior. B, Ear lesion at the 1-week follow-up. C, Epithelial cells in a fibrin matrix with abundant eosinophilic cytoplasm (hematoxylin-eosin, original magnification x400).


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