A 75-year-old male presented with right eye pain and proptosis.His history was significant for renal cell carcinoma treated with left nephrectomy 2 years previously.Computed tomography (CT) imaging demonstrated a 1.
6-cm enhancing Abrasive lesion in the right retrobulbar space.Surgical biopsy revealed a low-grade metastatic carcinoid tumor.At retrospective review, the primary renal lesion from 2 years prior was rediagnosed as consistent with a renal carcinoid tumor.
Indium-111 octreotide single photon emission CT/CT imaging demonstrated a solitary metastasis within Action Figures the right extraocular muscles.The patient subsequently developed additional metastases within the remaining right kidney and lung.