After Being Involved in a Street Altercation, a 30-Year-Old Guy

After being involved in a street altercation, a 30-year-old guy arrives at the emergency department with left eye discomfort. He was hit in the left eye with a fist and has since had discomfort and diplopia. Previous medical history is significant for two prior gunshot wounds. The patient does not smoke cigarettes but has a history of excessive alcohol use and marijuana usage. There is substantial soft tissue edema around the left eye on inspection. Although visual acuity is adequate, extraocular movement in the left eye is restricted. Normal pupillary reflexes exist. The picture below depicts a Coronal CT scan of the orbits. The orbital contents of this patient are most likely to herniate into which of the following sites?

A) Ethmoid cells
B) Frontal sinus
C) Inferior conchae
D) Maxillary sinus
E) Sphenoid sinus

Correct Answer:

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