Findings:
No intra or extra-axial blood or fluid collection is present. There is no mass or shift of midline.
Mild to moderate involutional changes are seen in the brain parenchyma in the form of prominent cortical sulci and widened ventricles.
Moderate background small vessel ischaemic disease. No enhancing intra or extra-axial mass lesion.
The intracranial circulation is unremarkable.
An enhancing soft tissue thickening is seen centered in the preseptal compartment, along the medial canthus of the left orbit, extending to the extraconal space, left lower lid and the cutaneous/subcutaneous tissue of the nose on the left side. The lesion is obliterating the fornix of the left lacrimal sac. No bony erosion can be identified.
The right orbit is unremarkable. IOL-implants are seen bilaterally.
The paranasal sinuses and mastoid air cells are clear.
No bony abnormality is seen.
Impression:
Soft tissue thickening along the medial canthus of the left orbit, involving the preseptal and extraconal compartments, with no bony erosion, in keeping with the clinically diagnosed BCC of the left medial canthus.
No intracranial metastasis.