MRI result without contrast confusing! Please help!

[bigbossgreen]

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Main Report:

History: Intermittent ear pressure right ear.


Techniques and Findings: Our internal auditory canal protocol was done without contrast.

There is an extra-axial mass centered on the posteriorly up of the internal auditory canal on the right. The lesion measures 1.3 cm in the longitudinal dimension and approximately 5-6 mm in its transverse dimension. There is no compression of either the seventh or eighth nerves.

The rest of the exam is unremarkable.

Summary: There is a small extra-axial mass arising from the posterior lip of the right internal auditory canal. This may represent a porous lip meningioma. The patient will be recalled for a gadolinium-enhanced MR.
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Back story: I thought I had menieres disease or cohelar hydrops suggested by Doctor google, but all of the problems I had for 3 to 4 months, right ear fullness, on and off for every week with slight tinnitus and women/children voices sounding robotic. Part of me didn't believe I had menieres because I never had vertigo. All went away for a month now. I feel very normal, strong.

Anyway, he thinks this maybe something they found by accident and not related to my ear issues I had before,
but contrast MRI will confirm if I have this or not, or maybe I don't have anything there.

My question is, what does this mean. Is this cancer? Is there a chance that the Contrast MRI will tell me there is nothing there and prove the first regular MRI wrong? Should I be worried?

[Daniel M Prevedello, MD]

Dear Bigbossgreen,

It sounds like a description of a small benign skull base lesion that they are not convinced is causing your symptoms.
I would be happy to review your imaging and give you my recommendations free of charge.
If you are interested you can send the imaging to:

410 W. 10th Avenue.
N1049 Doan Hall
The Wexner Medical Center, OSU
Columbus, OH
43210

Thank you

[Caryopteris]

There is a clerical (dictator probably using speech recognition and didn't carefully edit the report) error in the first sentence of the actual report.  It should be:  

"There is an extra-axial mass centered on the posterior lip of the internal auditory canal on the right."

[rumpled]

There is a place called the House Ear Clinic... perhaps sending your films for an opinion there may get you answers.

Meningiomas are typically benign from what I know.