DOI: https://doi.org/10.36347/sjmcr.2026.v14i06.010

Pages: 1367-1370

We report the case of a 23-year-old patient with a history of hypothyroidism, presenting with right upper eyelid swelling evolving over two months. Initial computed tomography (CT) imaging revealed an enhancing orbital lesion, prompting further evaluation with orbital magnetic resonance imaging (MRI). MRI demonstrated an infiltrative soft tissue mass involving the superior quadrants of the right orbit, suggestive of an orbital inflammatory pseudotumor. A biopsy was performed and showed non-specific inflammatory changes without evidence of malignancy. High-dose corticosteroid therapy was initiated, resulting in a marked clinical improvement. This case highlights the importance of recognizing the radiological features of inflammatory pseudotumors.