Chronic bilateral otalgia and headache. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is atrophy of the imaged part of the right parotid gland.Internal auditory canals: The bilateral cranial nerve 7 and 8 complexes are intact. The anterior inferior cerebellar arteries loop within the internal auditory canals. There is no evidence of mass lesions. The inner ear structures, including the cochlea, vestibule, endolymphatic duct, and semicircular canals, appear unremarkable. The bilateral mastoid air cells and middle ears also appear unremarkable.
1.No intracranial hemorrhage, mass, or acute infarct. 2.No evidence of retrocochlear or inner ear lesions.3.Atrophy of the right parotid gland may reflect previous inflammation/infection.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.