Acoustic schwannoma - possible NF2
Non-specific headaches, vertigo, hearing loss on the right side
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Vivid enhancing solid mass of the right vestibular nerve, intrameatal component well seen on coronal T1 Gd+ scans
The right porus acusticus internus dilatation reflects tumor slow growth
A second small contrast enhancing apparent lesion located at the 4th ventricle protruding into median aperture (of Magendie), without obstruction.
A simultaneous presence of two distinct intracranial tumors, such findings in a young adult patient can be elements of MISME syndrome.