Pulsatile tinnitus (PT) is characterized by the perception of a rhythmic sound that is in sync with the patient’s heartbeat, occurring in the absence of an external auditory stimulus. Representing approximately 4 % of tinnitus cases, PT has the potential to significantly impact both physical and mental well-being [1–3]. CT angiography and venography (CTA/V) is a significant imaging technique employed in the evaluation of the etiology of PT[4,5]. The etiology of PT is categorized into vascular an…