Legend MRI Brain; Ax T2W (left) and Ax FLAIR (right): A small, lobulated T2 weighted hyperintense lesion within the left petrous apex.

Legend MRI Brain; Ax T1W (left), Cor T1W Post-Gd (center), and Ax T1W Post-Gd (right): Lesion is mildly hyperintense on T1W and does not enhance. Key words: mri temporal bone tumor neoplasia

ENT Diagnosis: Cholesteatoma - Petrous apex