 Images of the internal auditory canals demonstrate the seventh and eighth nerves to be normal in size and symmetric bilaterally without masses or enhancing lesions along the course of these nerves or in the cerebellopontine angle cisterns bilaterally. The inner ear structures are normal in appearance and symmetric bilaterally without congenital inner ear anomalies identified on either side. There are no vascular anomalies. There is slight asymmetric increase in enhancement of the left facial nerve from the geniculate ganglion to the level of stylomastoid foramen consistent with provided history of previous left facial paralysis and Ramsey Hunt.
1.Negative MRI of the internal auditory canals including gadolinium enhancement. Specifically, there are no findings to explain the patient's left are pulsatile tinnitus.2.There is slight asymmetric increase in enhancement of the left facial nerve from the geniculate ganglion to the level of stylomastoid foramen consistent with provided history of previous left facial paralysis and Ramsey Hunt.