49 years Male Reason: asymmetric hearing loss, eval for acoustic neuroma History: asymmetric hearing loss, eval for acoustic neuroma Provider Name: JAYANT M PINTO JESSICA YESENSKY IACNo abnormal foci of enhancement are appreciated within the internal auditory canals. The cochlea and semicircular canals appear intact. The cochlear nerve can be followed bilaterally tracking into the cochlea. The modiolus is well formed bilaterally.No abnormal enhancing lesions are appreciated at the cerebellopontine angle cisterns nor the internal auditory canals.Images of both right and left internal auditory canals images normal neural bundles with at least 4 neural bundle seen on the sagittal oblique views. There is normal appearance of the membranous labyrinth with no evidence of enlargement of the endolymphatic ducts at the level of the vestibular aqueduct bilaterally.There is a mucous retention cyst in the left maxillary sinus.
MRI of the IACs are within normal limits. There is no evidence for acoustic neuroma.