Presentation
Headaches, incidental findings.
Patient Data
Age: 20 years
Gender: Female
From the case:
Cholesterol granuloma - petrous apex
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petrous apex lesion demonstrating:\u003c/p\u003e\u003cul\u003e\n\u003cli\u003e\u003cp\u003ehigh signal intensity on T1 and T2 WI\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003eno diffusion restriction\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003eno signal drop on the fat suppression sequence\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003eno evidence of post-contrast enhancement\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003eno evidence of aggressive behavior \u003c/p\u003e\u003c/li\u003e\n\u003c/ul\u003e","gb":"\u003cp\u003eRight petrous apex lesion demonstrating:\u003c/p\u003e\u003cul\u003e\n\u003cli\u003e\u003cp\u003ehigh signal intensity on T1 and T2 WI\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003eno diffusion restriction\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003eno signal drop on the fat suppression sequence\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003eno evidence of post-contrast enhancement\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003eno evidence of aggressive behaviour \u003c/p\u003e\u003c/li\u003e\n\u003c/ul\u003e"},"contributor_login":"bahman_rasuli","case_id":163089,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false}}
Right petrous apex lesion demonstrating:
high signal intensity on T1 and T2 WI
no diffusion restriction
no signal drop on the fat suppression sequence
no evidence of post-contrast enhancement
no evidence of aggressive behavior
Case Discussion
MRI features of left petrous apex cholesterol granuloma which is the most common cystic lesion of the petrous apex.
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