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  Indian J Med Microbiol
 

Figure 4: The orbital MRI reveals bilateral advanced proptosis with diffuse infiltration of orbital fat, obliteration of optic nerves, extraocular muscles with fi xation of intraorbital structures and enlarged lacrimal glands. Extraocular muscles show diffuse enlargement (both tendons as well muscle bundles enlarged in a tubular confi guration), with involvement of perineural optic sheath

Figure 4: The orbital MRI reveals bilateral advanced proptosis with diffuse infiltration of orbital fat, obliteration of optic nerves, extraocular muscles with fi xation of intraorbital structures and enlarged lacrimal glands. Extraocular muscles show diffuse enlargement (both tendons as well muscle bundles enlarged in a tubular confi guration), with involvement of perineural optic sheath