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A hearing problem with a difference

I Zammit–Maempel, FRCR 1 I G Hide, FRCR 1 and J Hill, FRCS 2

Departments of 1Radiology and 2Otolaryngology, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK



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  		Figure 1. T2 weighted axial image.

 


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  		Figure 2. T1 weighted coronal image (a) before and (b) after iv gadolinium.

 


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  		Figure 3. T1 weighted axial image after iv gadolinium.

 


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  		Figure 4. 2 mm axial unenhanced CT through the skull base showing a destructive lesion involving the clivus, sphenoid sinus and left ethmoidal air cells.

 




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