System: Neuroradiology / Head & Neck Exam Relevance: USMLE Step 1 & 2 CK | NEET-PG | INI-CET | PLAB / UKMLA Key Sign: Classic "Salt-and-Pepper" Appearance on MRI 1. Clinical Vignette A 52-year-old female presents to the otolaryngology clinic complaining of progressive pulsatile tinnitus in her right ear and mild hoarseness for the past 6 months. Physical examination reveals a reddish-blue vascular mass behind the intact tympanic membrane (bluish retrotympanic mass). Cranial n
