Right side hearing impairment and tinnitus of 3 weeks duration.
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Right cerebellopontine space occupying lesion exhibiting low signal on T1, high signal on T2 and FLAIR with avid enhancement on the post contrast study. There is also extension into the internal auditory canal (intracannilucular extension) and compression on the adjacent brain stem and 4th ventricle, with resultant of hydrocephalus more proximally.
Differential consideration of cerebellopontine angle lesions includes vestibular schwannoma, meningioma, epidermoid cyst and arachnoid cyst. Extension into the internal auditory canal favours the diagnosis of schwannoma over meningioma.