R. NICKBRYANMDPATRICIA A.HUDGINSMD
A 65-year-old woman presented with complaints of bilateral hearing loss. Her medical history was significant for repeated otitis media, with 1 episode of tympanic membrane perforation 1 year earlier that had healed spontaneously. Clinical examination revealed no abnormalities except for hearing loss. Her audiogram demonstrated asymmetrical high-frequency sensorineural hearing loss, which was worse in the right ear, prompting further workup with magnetic resonance imaging to rule out acoustic neuroma.
Srinivasan A, Ibrahim M, Mukherji SK. Radiology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2006;132(11):1265. doi:10.1001/archotol.132.11.1265