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Medial canal fibrosis

Findings:
There is a crescentic band of soft tissue filling the medial external auditory canal on both sides and abutting the tympanic membrane, with a lateral extension mainly along the floor and anterior wall of the canals. There are no osseous erosions of the underlying bones.

There is normal pneumatization of left mastoid air cells and middle ear cavities with normal appearance of the bony ossicles, scutum and tegmen tympani.
The vestibular-cochlear apparatus and internal acoustic canal have a normal appearance.
The course of the facial nerve is normal.
The carotid canal and jugular foramen are unremarkable.

The imaged paranasal sinuses are clear.

Impression:
CT findings are consistent with medial canal fibrosis bilaterally.
No middle or inner ear pathology.

Updated on 1. September 2023

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About the author

Dr Sara Mohebbi is a Consultant Radiologist (Facharzt für Radiologie) with sub-specialty training in neuroradiology. She served as Chief Resident at University Hospital Freiburg and is a member of the European Society of Radiology (ESR). Her clinical focus includes demyelinating disease, neuro-oncology, and vascular neuroimaging. Dr Mohebbi is the Clinical Lead at Radiology Prime, where she provides independent second opinion reports on brain and spine MRI.