Middle aged male patient with a complaint of pulsatile tinnitus was referred to ENT.
One year ago a sphenoid meningeoma, diagnosed on MRI, was resected because of left pulsatile tinnitus. Because of relapse pulsatile tinnitus the patient got a new MRI.
Axial FLAIR
AXIAL T2 TSE 3D
Axial TOF without contrast
Axial T1 TSE
Axiale T1 + IV Gd
Aniography of the left internal carotid artery
What is your diagnosis ?
