RT Book, Section A1 Jackson, Meghan Drayton A1 Thompson, Margaret C. A2 Usatine, Richard P. A2 Sabella, Camille A2 Smith, Mindy Ann A2 Mayeaux, E.J. A2 Chumley, Heidi S. A2 Appachi, Elumalai SR Print(0) ID 1114880172 T1 Neuroblastoma T2 The Color Atlas of Pediatrics YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-176701-9 LK accesspediatrics.mhmedical.com/content.aspx?aid=1114880172 RD 2024/04/19 AB A 3-year-old girl presents to the emergency department with decreased appetite, fatigue, and irritability for 1 month. She has periorbital ecchymoses (raccoon eyes) without a history of trauma (Figure 212-1). A CT scan is ordered to look for a neuroblastoma. The CT scan of her orbit shows bony erosions and periosteal reaction of her orbits. An MRI scan of her abdomen reveals a primary adrenal tumor. A biopsy is performed of the adrenal tumor confirming the diagnosis of neuroblastoma. She responds well to several courses of chemotherapy.