Findings: There is a unilateral 4mm x 3mm x 2mm enhancing ovoid lesion in the left auditory canal near the left CPA.
Key points – Vestibular schwannoma:
* Benign tumor of Schwann cells that encircle the vestibulocochlear nerve in the CPA and IAC
* Most common mass in CPA
* Often presents with progressive hearing loss
* 100% enhance; appears as “filling defect” in CSF on T2
* Rarely associated with dural tail or arachnoid cyst
* Unilateral enhancing CPA mass is vestibular schwannoma until proven otherwise.
* Usually slow growing with peak age 40-60yrs
* If complete hearing loss has occurred, resection will not help restore hearing.
Case submitted by Brian Casey from Auntminnie (Source: https://community.radrounds.com/photo/chest-x-ray-pneumothorax/next?context=popular)