Jugulotympanic paraganglioma. 61-year-old female presenting with hearing loss, right facial palsy, dysphagia, and Horner syndrome. Gadolinium-enhanced axial spin-echo T1WI showing an enhancing lesion (arrow) centered in right jugular foramen, involving the glossopharyngeal, vagus, and accessory nerves (cranial nerves IX, X, and XI, respectively). The lesion extended superiorly to the internal auditory canal—involving the facial and vestibulocochlear nerves (cranial nerves VII and VIII, respectively—and the middle ear, extending inferiorly to the hypoglossal nerve (cranial nerve XII) and carotid canals (not shown).