by S Sperker, F Neff and D Schul (Germany). This case can be discussed further on

A 22-year old man presents with a swelling around the right orbital region.  The swelling is firm; the skin above the defect is moveable.  There was no affection of eye’s function, but there is a significant reduction of the palpebral fissure. 

An MRI-scan shows an intracranial and intraorbital lesion, around the right orbital roof.

Figure 1

Figure 1

* 1. Would you perform another diagnostic imaging? And, if so, why?