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At diagnosis. A. Coronal 3D-CISS and B. Axial 3D-CISS images of the orbits show tumor foci (black arrows) within both globes, one larger on the right and at least two small ones on the left. C. Sagittal T1-weighted image of the brain reveals enhancing intra- and suprasellar mass lesion (white arrow) with prominent enhancement of the pineal gland (white arrowhead).
