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Radiology Quiz Case 2
Huan-Sen Chen, MD;
Yen-Liang Chang, MD;
Cher-Wei Liang, MD
Cathay General Hospital, Taipei (Drs Chen, Chang,and Liang), and College of Medicine, Fu Jen Catholic University, Hsinchuang (Dr Chang), Taiwan
Arch Otolaryngol Head Neck Surg. 2008;134(3):329.
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A 56-year-old woman presented with a 4-month history of progressive left-sided hearing loss and aural fullness. Otoscopy revealed serous effusion in the left middle ear, and audiometry showed combined conductive and sensorineural hearing loss. A diagnosis of left-sided serous otitis media was made, and a tympanostomy tube was inserted. The patient's symptoms, however, progressed to vertigo and left temporal deep-seated headache. She also complained of numbness in the left side of her face and paresthesia over the V2 and V3 distributions.
A high-resolution computed tomographic scan of the temporal bone revealed extensive bony destruction from the left middle cranial fossa to the infratemporal fossa as well as erosion of the mandibular condyle and the left temporal bone (Figure 1). Magnetic resonance images demonstrated a 6.0 x 5.5-cm mass centered in the left infratemporal fossa. The mass presented with low . . . [Full Text of this Article]
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Radiology Quiz Case 2: Diagnosis
Arch Otolaryngol Head Neck Surg. 2008;134(3):331.
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