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Photos courtesy of: Carol L. Shields, M.D. Used with permission. Not to be reproduced.

A 4-year-old child was noticed to have ptosis in the left eye since 2 weeks. No other significant history of trauma or familial disease. Visual acuity and ocular movements were normal. Lid crease was good with levator action of 16 mm. The rest of the examination was normal in both eyes. External photograph and MRI of the patient are shown above.

1.	Looking at above pictures, what is the most likely diagnosis?
	a. acquired ptosis b. lymphoma c. rhabdomyosarcoma d. lymphangioma
2.	Management starts with:
	a. excision or incision biopsy b. chemotherapy c. LPS resection d. local radiotherapy

For answers to the above, click here on or after August 5, 2008.