Left orbital medial wall and floor blow-out fracture with pronounced inferior rectus muscle and orbital fat hernia within the fracture gap of the floor, herniated medial rectus muscle within the medial wall fracture gap, and foci of intraconal, retrobulbar, and perineural hematoma. Left side preseptal and lacrimal gland soft tissue swelling and right eye exodeviation and hemorrhage within let side maxillary and ethmoid sinuses are noted.