- MedPix™ TF Case: 13239 ::
Topic - Dx: Cholesteatoma right ear :: Search Icon

History

Age: 36 :: Gender: woman

Patient History

36 year old female with chronic ear pain and conductive hearing loss, right worse than left.

Exam


Physical Exam and Laboratory

Chronic inflammatory changes both ears

Caption


Axial :: CT - noncontrast :: ACR Code: 1.2

Cholesteatoma right ear

CT--soft tissue erosive mass middle ear and moastoid on right. Erosion of tegmen tympani seen on coronal scans

MRI--High signal intensity mass middle ear cavity and mastoid air cells on right

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Findings


Summary of Findings

CT--soft tissue erosive mass middle ear and moastoid on right. Erosion of tegmen tympani seen on coronal scans

MRI--High signal intensity mass middle ear cavity and mastoid air cells on right

Diffferential


Differential Diagnosis

Cholesterol Granuloma
Trauma
Metastatic disease

Diagnosis


Case Diagnosis

Dx: Cholesteatoma right ear


Dx Confirmed by: Otoscopic esamination, CT, and MRI

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Followup


Followup and Treatment

Mastoidectomy on right

Discussion


Discussion for this Patient

This patient also had a closed-lipped schizencephalic cleft left frontal lobe and unruptured distal right ICA aneurysm discovered on CT and MRI scans obtained to evaluate middle ear pathology.

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TF Case Contributor Credits
Submitted by: Steven J Goldstein - Author Info
Case/Image Editor: Alice Boyd Smith - Editor Info
Case Accepted: 2009-10-13 14:02:50-04 :: Revised: :: Submitted:
Data Channel Closed

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