1-Click on the image to enlarge
2-Patient with relapsing cholesteatoma.
3-First localise the lesion(where is it)
4-The answer of this question =it is located at the site of operation on the left side.
5-Secondly,characterise this lesion as follow
In T1 MRI sequence,the lesion is hypo intense.
In T2 MRI sequence,the lesion is hyper intense
In T1 sequence with contrast injection, no enhancement seen
In Diffusion sequence,the lesion is hyper intense.
6-Impression:
A lesion in this location with no enhancement and showed hyper intensity on diffusion
sequence should be a cholesteatoma.
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