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Clinical Problem Solving: Radiology
November 2006

Radiology Quiz Case 2

Author Affiliations
 

R. NICKBRYANMDPATRICIA A.HUDGINSMD

Arch Otolaryngol Head Neck Surg. 2006;132(11):1265. doi:10.1001/archotol.132.11.1265

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.

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