Orbital lesion

    A 46 year old female presented to her oculoplastics physician because of "orbital fullness" that she found cosmetically unacceptable.  The patient had no other complaints.  She denied decrease in vision or diplopia.  She was interested in blepharoplasty but when proptosis was noted on exam the oculoplastic surgeon recommended a CT scan of her orbits to rule out an intraorbital mass.  A bi-lobed mass was seen on CT scan with a small lobe in the anterior orbit and a larger lobe extending into the posterior orbit.  Surgical excision was recommended.