A 5-year-old girl presented for evaluation of a right orbital mass displacing the globe superiorly. She had a 5-week history of swelling around her right eye. Her medical history and ocular history were unremarkable. She was adopted at the age of 7 months, and there was no known history of prenatal or perinatal problems. She was home-schooled and enjoyed playing outdoors. She had no preceding illness or trauma and no known contact with anyone ill. Her pediatrician diagnosed a blocked tear duct and referred her to an ophthalmologist. She failed empiric treatment for orbital cellulitis and was subsequendy referred to an orbital surgeon. Computed tomography (CT) of the orbits was performed.
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