case_images: PMC6091283_01
case_images: CT scan of temporal bone showing features of tympanomastoiditis and soft tissue shadow involving the middle ear and attic areas. (a) Coronal. (b) Axial.
case_images: CRIOT2018-6015385.001.jpg
case_images: PMC6091283_01_CRIOT2018-6015385.001.jpg
case_images: fig1
case_images: Urgent CT scan was done to rule out intracranial complications, and it showed features of tympanomastoiditis and soft tissue shadow involving the middle ear and attic areas (Figures 1(a) and 1(b)).
case_images: (a) MRI with contrast showing asymmetrical signal changes in the bilateral petrous bone with reduced enhancement on the left with high suspicion of petrositis. (b) Contrast showing an enhancing lesion in the internal auditory meatus involving the 7th-8th nerve complex most likely acoustic neuroma (red circle).
case_images: CRIOT2018-6015385.002.jpg
case_images: PMC6091283_01_CRIOT2018-6015385.002.jpg
case_images: fig2
case_images: In addition to the mentioned pathology, there was a 10 x 4 mm enhancing lesion in the internal auditory meatus involving the 7th-8th nerve complex most likely acoustic neuroma, and there was no extension to the cerebellopontine angle (Figure 2(b)).