Massive Recurrent Chalazion With Anterior Orbital Extension.

A 14-year-old girl developed a large, asymptomatic lump on the right lower eyelid a few weeks after chalazion excision. MRI showed a very large, elliptical, postseptal lesion 1.8 × 14.1 × 21.2 mm which intensified homogeneously with gadolinium. The patient underwent orbital biopsy of the lesion using a swinging eyelid approach. A dense, solid, nondraining encapsulated lesion was palpated and separated from the surrounding tissue. Histopathologic diagnosis was a granulomatous chalazion.