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A 64-year-old woman who presented with bilateral sensorineural hearing loss. Axial T2 SPACE imaging demonstrates fluid-filled dilation of the right geniculate ganglion fossa, compatible with a meningocele (solid straight arrow, A and B). Fluid is seen in the left labyrinthine (curved arrow, C) and geniculate (dashed straight arrow, C and D) segments of the left facial nerve canal without remodeling/dilation of the osseous canal.
