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  Vol. 131 No. 10, October 2005 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case 2

Hatice T. Sanal, MD; Ozgur Kilickesmez, MD; Cevat Can, MD
Diyarbakir Military Hospital, Diyarbakir, Turkey

Arch Otolaryngol Head Neck Surg. 2005;131:922.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 55-year-old woman presented with left-sided acute, painless facial paralysis. The findings of her physical examination were unremarkable. An otoscopic examination was not performed. Because facial nerve edema is one of the most common causes of facial paralysis, medical therapy was prescribed accordingly. The patient had no response to the therapy, so she was readmitted for the second time 2 months later, at which time otoscopy revealed a skin-covered mass obliterating the left external auditory canal.

Computed tomography demonstrated a lytic, partially expansile lesion measuring approximately 4 x 4 cm in the mastoid and styloid portions of the temporal bone, with irregular margins, a wide transition zone, and mild dense calcifications within the internal structure (Figure 1). The bone lesion, which had a soft tissue component (Figure 2), extended to the vicinity of the tympanic membrane, . . . [Full Text of this Article]



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