Cholesterol granuloma - petrous apex

Case contributed by Mohamed Abdalla
Diagnosis almost certain

Presentation

Tinnitus and hearing impairment.

Patient Data

Age: 30 years
Gender: Female

Left petrous apex lesion demonstrating:

  • high signal intensity on T1 and T2 WI
  • dark rim on all pulse sequences (hemosiderin rim)
  • no diffusion restriction
  • no signal drop on fat suppression sequence (no fat contents)
  • no evidence of aggressive behavior 

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