Review Question - QID 214936

A 23-year-old man presents to the emergency department after being involved in a motorbike accident 2 hours prior to presentation. He reports that he was not able to brake in time and collided with a parked car. He now complains of left eye pain along with a laceration to his left forehead. On exam, his temperature is 98.8°F (37.1°C), blood pressure is 124/72 mmHg, pulse is 66/min, and respirations are 12/min. The patient is comfortable and there is no active bleeding from the forehead laceration, which is down to muscle. The patient demonstrates periorbital bruising on the left side and the left eye appears slightly sunken compared to the right. The patient demonstrates no changes in visual acuity using a Snellen chart. However, ocular motility examination is abnormal. Which of the following is likely seen on exam?