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Picture 2. (A) Coronal and (B) axial computed tomography scan of the orbits before treatment shows gross thickening of the right medial rectus and inferior rectus muscles, and the superior oblique muscle. Axial scan also shows exophthalamous. (C) Coronal fat-suppression T2-weighted magnetic resonance imaging scan of the orbits before and (D) 45 days after corticosteroid treatment. There is lessening of the thickness and high signal of these muscles. □ PICTURES IN CLINICAL MEDICINE □

Orbital Myositis Presenting as Painless Ophthalmoplegia