Coronal postcontrast T1-weighted image of the orbits in patient 1 demonstrates a heterogeneously enhancing ovoid lesion involving the right medial rectus (arrow). Coronal postcontrast T1-weighted image of the orbits in patient 1 demonstrates a heterogeneously enhancing ovoid lesion involving the right medial rectus (arrow). A similarly enhancing but larger lobulated lesion involves the left lateral rectus (arrowhead). A. Gupta et al. AJNR Am J Neuroradiol 2011;32:1208-1211 ©2011 by American Society of Neuroradiology