A 49-year-old woman had a palpable mass in her occipital region. Plain
radiographs and CT examination revealed extensive atlantooccipital pn
enmatization with findings consistent with the diagnosis of mastoid pn
eumocele, Decompression was achieved with placement of at myringotomy
tube, resulting in prompt symptomatic relief, On a follow-up CT examin
ation, the pneumatized areas had become opacified and new bone formati
on was present.