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.