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Fungal infiltration of cavernous sinus presenting as painful ophthalmoplegia

(A, B) Post-contrast T1- and T2-weighted images showing signal alteration and contrast enhancement of left orbital apex and ethmoid sinus (white arrow). (C) Hematoxylin and eosin staining showing fungal hyphae (black arrow). (Contributed by Dr. Ravindra Kumar Garg.)

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  • Granulomatous vasculitic inflammatory tumor
  • Hypersensitivity angiitis
  • Lymphoma
  • Nongranulomatous vasculitic inflammatory tumor
  • Nonvasculitic inflammatory tumor