PMC6091283_01
CT scan of temporal bone showing features of tympanomastoiditis and soft tissue shadow involving the middle ear and attic areas. (a) Coronal. (b) Axial.
CRIOT2018-6015385.001.jpg
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fig1
Urgent CT scan was done to rule out intracranial complications, and it showed features of tympanomastoiditis and soft tissue shadow involving the middle ear and attic areas (Figures 1(a) and 1(b)).
(a) MRI with contrast showing asymmetrical signal changes in the bilateral petrous bone with reduced enhancement on the left with high suspicion of petrositis. (b) Contrast showing an enhancing lesion in the internal auditory meatus involving the 7th-8th nerve complex most likely acoustic neuroma (red circle).
CRIOT2018-6015385.002.jpg
PMC6091283_01_CRIOT2018-6015385.002.jpg
fig2
In addition to the mentioned pathology, there was a 10 x 4 mm enhancing lesion in the internal auditory meatus involving the 7th-8th nerve complex most likely acoustic neuroma, and there was no extension to the cerebellopontine angle (Figure 2(b)).