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A 50-year-old woman was referred for evaluation of an unusual lesion arising from the left tympanic membrane. She had initially consulted her family physician regarding a 3-month history of left-sided otalgia that had developed just below her left ear. After a clinical examination and x-ray investigation, this symptom was subsequently attributed to degenerative changes in the cervical spine. The patient, who was otherwise fit and healthy, denied any symptoms of hearing loss, tinnitus, vertigo, or otorrhea.
Evans A, Jebreel A, Batty R, Ray J. Radiology Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2011;137(2):194-197. doi:10.1001/archoto.2011.6-a