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Clinical Problem Solving: Radiology
Sep 2012

Radiology Quiz Case 1

Author Affiliations
 

SECTION EDITOR: C. DOUGLAS PHILLIPS, MD

Arch Otolaryngol Head Neck Surg. 2012;138(9):867. doi:10.1001/archoto.2012.1637

A 73-year-old man presented to the ear, nose, and throat service with a 2-month history of persistent “roaring noise like a vacuum cleaner” in his left ear. He also complained of hoarseness and diminished hearing in his left ear. The findings of his physical examination were unremarkable. Flexible fiberoptic laryngoscopy revealed left vocal cord palsy. An audiogram showed bilateral sensorineural hearing loss, on the left more than on the right. The results of tympanometry were normal.

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