Figure 7.

A 63-year-old female, who presented with altered mental status, decreased vision and left-sided weakness of the face and arm, and a history of sinusitis and uncontrolled type 2 diabetes mellitus, is diagnosed with rhino-orbital-cerebral-zygomycosis (mucormycosis). T1-weighted fat saturated postgadolinium images of the brain in (a) coronal and (b) axial view shows ethmoidal sinusitis with bone erosion and a subperiosteal abscess (asterisk) occupying the medial aspect of the right orbit and displacing the medial rectus muscle laterally and extension to the right cavernous sinus with internal carotid artery invasion (arrow in b). (c) Diffusion-weighted imaging demonstrates an acute infarct in the territory of the right middle cerebral artery (arrows).