An 11-month-old male infant presents with an abdominal lump and bilateral periorbital swelling and pigmentation.CT abdomen and the CT of the orbits are attached. What is the most likely diagnosis?
|A.||Bilateral orbital cellulitis|
Ans. C. Metastatic neuroblastoma
Raccoon eyes depicted on the first image and mass arising next to the right kidney along with a retro-orbital metastatic lesion shown in the second image on CT scan is highly suggestive of neuroblastoma.
Though retinoblastoma is the most common orbital malignancy, but an associated renal mass would not be explained RB, orbital cellulitis, and Rhabdomyosarcoma.