Figure 5:
Sequential follow up CT scan at at (a) 6 months, (b) 1 year, (c) 1.5 year and (d) 2 years showed aggressive growth of the hemangioma, despite of subtotal resection for 3 times. (a) Patient had no involvement in the orbital region (marked by blue arrowhead), whereas (c) 1.5 years follow up CT scan demonstrated involvement of right orbit and ipsilateral zygomatic bone (marked by red arrowhead). (d) Last CT scan, coronal section demonstrated an aggressive and invasive growth pattern, breaching the inner table with significant intracranial extension and parenchymal involvement (scattered bony ingrowth and invasion marked by orange arrow). Multiple scattered hypodense areas are also noted in the same side, signifies ischemic change (marked by blue arrow).
