Presentation
Hearing loss on the left side.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/11203/annotated_viewer_json?lang=us"}
Soft tissue mass in the left middle ear surrounding and partially eroding the ossicles and extending into the antrum. Obliteration of mastoid cells.
From the case:
Cholesteatoma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/11204/annotated_viewer_json?lang=us"}
T2 high intensity structured in the left middle ear and mastoid air cells.
Diffusion-weighted (b-value = 1000) acquisition reveals restricted diffusion in the left middle ear and a second focus in the left antrum.
Fusion image of the Coronal T2 and DWI images allows a more precise detail of the anatomic position of the foci with restricted diffusion.
Case Discussion
Diffusion MRI (non-EPI DWI or TSE DWI) allows to identify with high accuracy the presence of a cholesteatoma (acquired or recurrent).
Unable to process the form. Check for errors and try again.