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    Rad UMR0777491 4020126 1701

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    sureshmaila9966
    1) The patient presented with delayed speech and no response to loud noise. Imaging found chronic right otitis media with possible cholesteatoma, chronic right mastoiditis, and labyrinthitis ossificans in the right ear likely secondary to chronic otitis media. 2) The left ear was normal with no abnormalities seen. 3) Follow up was suggested to correlate clinical findings.

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    Rad UMR0777491 4020126 1701

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    sureshmaila9966
    11 views4 pages
    1) The patient presented with delayed speech and no response to loud noise. Imaging found chronic right otitis media with possible cholesteatoma, chronic right mastoiditis, and labyrinthitis ossificans in the right ear likely secondary to chronic otitis media. 2) The left ear was normal with no abnormalities seen. 3) Follow up was suggested to correlate clinical findings.

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    Sureshmaila123

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    Rad-UMR0777491-4020126-1701

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    1) The patient presented with delayed speech and no response to loud noise. Imaging found chronic right otitis media with possible cholesteatoma, chronic right mastoiditis, and labyrinthitis ossificans in the right ear likely secondary to chronic otitis media. 2) The left ear was normal with no abnormalities seen. 3) Follow up was suggested to correlate clinical findings.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    11 views4 pages

    Rad UMR0777491 4020126 1701

    Uploaded by

    sureshmaila9966
    1) The patient presented with delayed speech and no response to loud noise. Imaging found chronic right otitis media with possible cholesteatoma, chronic right mastoiditis, and labyrinthitis ossificans in the right ear likely secondary to chronic otitis media. 2) The left ear was normal with no abnormalities seen. 3) Follow up was suggested to correlate clinical findings.

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    © All Rights Reserved
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    of 4

    Name : Master . STANLEY .

    TID : UMR0777491
    Age / Gender : 2 Years / Male Registered on : 28­Apr­2022 09:20 PM
    Ref.By : Dr Vishnu Swaroop Reddy N Reported On : 29­Apr­2022 01:08 PM
    Req. No : BIL1985853

    DEPARTMENT OF RADIOLOGY
    DEPARTMENT OF MRI
    MRI Cochlear And CT Temporal Bone

    PROTOCOL:

    Axial T1 and T2 Wt sequences


    Axial and coronal CISS sequences
    Axial and coronal CT sections were also performed through temporal bones

    Clinical Details : Delayed speech and no response to loud noise

    OBSERVATIONS:

    CT TEMPORAL BONES

    RIGHT

    Minimal soft tissue density in external auditory canal ­ Ear wax.


    Tympanic membrane appears thickened.

    Soft tissue density in right middle ear cavity extending to sinus tympani, oval window niche.

    There is erosion of manubrium of malleus, lenticular process of incus and partial rarefaction of stapes.
    Rest of the ossicles are normal.

    The round window appears normal.

    Vestibule is small in size.


    Ossification of lateral, posterior, superior semicircular canals with complete obliteration of the fluid
    density.

    Hazy increase in density in the basal turn of cochlea.


    Middle and apical turns show normal density.
    Modiolus is normal.

    Facial nerve canal is normal.

    Internal auditory canal is normal.


    No evidence of bony erosion.
    Page:1 of 4

    Tegmen tympani is normal.


    The round window appears normal.

    Vestibule is small in size.


    Ossification of lateral, posterior, superior semicircular canals with complete obliteration of the fluid
    density.

    Hazy increase in density in the basal turn of cochlea.


    Name : Master
    Middle and apical turns. STANLEY . density.
    show normal TID : UMR0777491
    Modiolus
    Age is normal.
    / Gender : 2 Years / Male Registered on : 28­Apr­2022 09:20 PM
    Ref.By : Dr Vishnu Swaroop Reddy N Reported On : 29­Apr­2022 01:08 PM
    Facial nerve canal is normal.
    Req. No : BIL1985853
    Internal auditory canal is normal.
    No evidence of bony erosion.

    Tegmen tympani is normal.

    Sclerosis of right mastoid air cells.

    LEFT

    Minimal soft tissue density in external auditory canal ­ Ear wax.


    Tympanic membrane is normal.

    Middle ear cavity is normal.

    Ossicles appear normal. No evidence of ossicular chain discontinuity.

    The round window appears normal.

    Modiolus is normal. Turns of cochlea are normal.


    Vestibules and semicircular canals are normal.
    Facial nerve canal appear normal.

    Internal auditory canal is normal.


    No evidence of bony erosion.

    Tegmen tympani is normal.

    Mastoid air cells appear normal.

    MRI COCHLEA:

    Both internal auditory canals appear normal. No evidence of widening seen.

    No focal mass lesion.

    VII and VIII nerve complex with superior, inferior vestibular and cochlear nerves are normal.

    Absent fluid signal in the right vestibule, semicircular canals, basal turn of cochlea
    Page:2 of 4

    Rest of the turns of right cochlea, left vestibule, left cochlea, left semicircular canals are normal.
    Tegmen tympani is normal.

    Mastoid air cells appear normal.

    MRI COCHLEA:

    Name
    Both internal :auditory
    Master . canals
    STANLEY .
    appear normal. No evidence ofTID : UMR0777491
    widening seen.
    Age / Gender : 2 Years / Male Registered on : 28­Apr­2022 09:20 PM
    No focal mass
    Ref.By lesion.
    : Dr Vishnu Swaroop Reddy N Reported On : 29­Apr­2022 01:08 PM
    Req. No :BIL1985853
    VII and VIII nerve complex with superior, inferior vestibular and cochlear nerves are normal.

    Absent fluid signal in the right vestibule, semicircular canals, basal turn of cochlea

    Rest of the turns of right cochlea, left vestibule, left cochlea, left semicircular canals are normal.

    No evidence of dilated endolymphatic sac / duct.

    Minimal T2 hyperintensity in few of the right mastoid aircells.

    Cerebello​pontine angle cisterns are normal.

    Screening MRI brain (FLAIR Axials) : No significant abnormality.

    IMPRESSION :

    * Soft tissue density in right middle ear cavity with extension to oval window niche, sinus
    tympani with erosion of manibrium of malleus, lenticular process of incus, rarefaction of
    stapes

    = = > Diagnostic possibility : Otitis media with possibility of cholesteatoma

    * Chronic right mastoiditis

    * Right vestibule is small in size and ossification of right lateral, posterior, superior
    semicircular canals with complete obliteration of the fluid density and hazy increase in density
    in the basal turn of right cochlea on CT and absent fluid signal in the right vestibule,
    semicircular canals, basal turn of cochlea on MRI.

    = = > Diagnostic possibility : Labyrinthitis ossificans, likely secondary to chronic otitis media.

    Suggested clinical correlation and follow up

    Dr.S Sireesha
    Consultant Radiologist
    Page:3 of 4
    * Right vestibule is small in size and ossification of right lateral, posterior, superior
    semicircular canals with complete obliteration of the fluid density and hazy increase in density
    in the basal turn of right cochlea on CT and absent fluid signal in the right vestibule,
    semicircular canals, basal turn of cochlea on MRI.

    = = > Diagnostic possibility : Labyrinthitis ossificans, likely secondary to chronic otitis media.
    Name : Master . STANLEY . TID : UMR0777491
    Suggested clinical correlation and follow up
    Age / Gender : 2 Years / Male Registered on : 28­Apr­2022 09:20 PM
    Ref.By : Dr Vishnu Swaroop Reddy N Reported On : 29­Apr­2022 01:08 PM
    Req. No : BIL1985853
    Dr.S Sireesha
    Consultant Radiologist

    Page:4 of 4

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