Roy Calloway · visit 10/28/2026 · audiogram 10/28/2026
Speech understanding
The shaded shape is the speech sounds; what sits above Roy’s lines is what he misses. His Speech understanding — the share of speech he can hear — is in the header. Switch to Normal hearing or an Example loss to compare.
From Noah · 10/28/2026
Auto-uploaded from the Titan printout · 10/28/2026
Shaded band: 5th–95th percentile normal range, Ramos, Kristensen & Beck, Hearing Review 2013;20(11):30-33, Table 3 (N=39; 65/55 dB SPL, f2/f1 1.22).
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4c2e9a71 · Edit patient
3/14/1952 · 74 yrs · Seabrook
ContactBook now
Audiogram 10/5/2024 — last test
Audiogram 10/28/2026 (previous test dashed)
Diagnostics
Last audiogram 10/5/2024 · mild high-frequency sensorineural loss both ears · tympanometry Type A both ears.
WRS R 92% · L 88% · SRT 20 / 20 dB HL.
Today: audiological assessment, booked from Dr. Whitfield's referral. Reports hearing worse in noise since the last test; constant tinnitus both ears.
Audiogram 10/28/2026 · 20–30 dB poorer than 10/5/2024 at 2 kHz and above, sensorineural · tympanometry Type A both ears.
DPOAE present through 1.5 kHz, absent 2–6 kHz · WRS R 76% · L 72% · SRT 30 / 30 dB HL.
Report due — written the moment Noah handed the results back.
Report signed and sent 10/28/2026 · fax delivered, 4 pages.
Calloway , RoyBorn 3/14/1952
Latest Audiogram
10/8/2026 : Maestro
Sessions
Devices
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✓ Signed 10/28/2026 · Dr. Jordan Avery, Au.D. · Faxed to Dr. Whitfield · 4 pages · delivered
Results revealed a progression of the bilateral high-frequency sensorineural hearing loss since 10/5/2024, now moderate to severe above 2 kHz.
Air conduction transducer: insert earphones · Reliability: good
| Ear | Type | Peak pressure (daPa) | Compliance (mL) | ECV (mL) |
|---|---|---|---|---|
| Right | A | -15 | 0.74 | 1.10 |
| Left | A | -5 | 0.68 | 1.20 |
The patient has a known bilateral sensorineural hearing loss, last tested here on 10/5/2024, and reports hearing worse since, most in noise, with constant tinnitus in both ears.
Results revealed a progression of the bilateral high-frequency sensorineural hearing loss since 10/5/2024, with reduced word recognition and constant bilateral tinnitus. The loss is cochlear in origin; nothing today suggests a medical or surgical condition.
Red = right ear, blue = left ear
AC transducer: Insert earphones
BC vibrator: Bone vibrator
Method: Standard audiometry
Reliability: Good
Source: NOAH
Audiometer, SN 20418 · calibrated 3/17/2026 (ANSI S3.6-2018)
Next due 3/17/2027 · certificate on file
Shaded box = type A.
| Right | Measure | Left |
|---|---|---|
| 1.1 | Ear canal volume (mL) | 1.2 |
| -15 | Tympanometric peak pressure (daPa) | -5 |
| 0.74 | Static compliance (mL) | 0.68 |
| 95 | Gradient (daPa) | 105 |
| A | Tympanogram type | A |
Middle ear analyzer, SN 61127 · calibrated 3/17/2026 (ANSI S3.39)
Next due 3/17/2027 · certificate on file
12 frequencies · L1/L2 65/55 dB SPL · f2:f1 1.22 · present criterion SNR ≥ 6 dB
Check = equipment-detected response. Filled marker = response detected; open marker = not detected. Dashed gray line = noise floor.
| Right ear | Left ear | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| F2 (Hz) | DP | Noise | SNR | Rel % | Det | DP | Noise | SNR | Rel % | Det | |
| 500 | 6.2 | -4.1 | 10.3 | 99.2 | yes | 5.1 | -5.2 | 10.3 | 99.0 | yes | |
| 1000 | 8.4 | -7.9 | 16.3 | 99.8 | yes | 6.3 | -8.3 | 14.6 | 99.6 | yes | |
| 1500 | 2.3 | -9.2 | 11.5 | 99.1 | yes | 1.1 | -9.1 | 10.2 | 98.9 | yes | |
| 2000 | -9.3 | -11.4 | 2.1 | 72.6 | no | -10.1 | -12.0 | 1.9 | 70.2 | no | |
| 3000 | -12.8 | -13.9 | 1.1 | 61.3 | no | -14.0 | -13.8 | -0.2 | 49.5 | no | |
| 4000 | -15.2 | -15.0 | -0.2 | 50.4 | no | -16.2 | -16.0 | -0.2 | 50.8 | no | |
| 5000 | -16.4 | -17.2 | 0.8 | 58.9 | no | -16.9 | -17.3 | 0.4 | 55.1 | no | |
| 6000 | -17.1 | -16.8 | -0.3 | 49.7 | no | -18.1 | -17.9 | -0.2 | 48.3 | no | |
| 7000 | -16.3 | -17.5 | 1.2 | 57.2 | no | -17.6 | -17.2 | -0.4 | 47.9 | no | |
| 8000 | -18.2 | -18.4 | 0.2 | 51.0 | no | -19.2 | -19.0 | -0.2 | 50.2 | no | |
| 9000 | -19.0 | -18.8 | -0.2 | 48.6 | no | -18.9 | -19.4 | 0.5 | 54.4 | no | |
| 10000 | -20.3 | -19.6 | -0.7 | 44.9 | no | -20.1 | -19.8 | -0.3 | 46.0 | no | |
Interpretation: Distortion Product OtoAcoustic Emissions (DPOAE) - Right ear: present through 1.5 kHz, absent above. Left ear: present through 1.5 kHz, absent above. Consistent with the audiogram.
OAE system, SN 61127 · calibrated 3/17/2026 (IEC 60645-6)
Next due 3/17/2027 · certificate on file
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SRT 35 / 40 dB HL · WRS 88% / 92%
Tymp Right
Tymp Left
DP-gram Right
DP-gram Left
Full-size audiogram, tympanograms and DP-grams with point tables start on page 2.
Onset was gradual. The patient reports a family history of hearing loss. The patient has never worn hearing aids.
The patient reports constant ringing tinnitus in both ears, 2 years. The tinnitus is bothersome, rated 6 of 10, and affects sleep.
Interpretation: Results revealed a symmetrical sensorineural hearing loss, mild to moderate in the right ear and mild to moderate in the left ear. Tinnitus is likely related to the hearing loss. Test reliability was good.
Red = right ear, blue = left ear
AC transducer: Insert earphones
BC vibrator: Bone vibrator
Method: Standard audiometry
Reliability: Good
Source: NOAH
Audiometer, SN 20418 · calibrated 3/17/2026 (ANSI S3.6-2018)
Next due 3/17/2027 · certificate on file
Shaded box = type A.
| Right | Measure | Left |
|---|---|---|
| 1.1 | Ear canal volume (mL) | 1.2 |
| -15 | Tympanometric peak pressure (daPa) | -5 |
| 0.74 | Static compliance (mL) | 0.68 |
| 95 | Gradient (daPa) | 105 |
| A | Tympanogram type | A |
Middle ear analyzer, SN 61127 · calibrated 3/17/2026 (ANSI S3.39)
Next due 3/17/2027 · certificate on file
12 frequencies · L1/L2 65/55 dB SPL · f2:f1 1.22 · present criterion SNR ≥ 6 dB
Check = equipment-detected response. Filled marker = response detected; open marker = not detected. Dashed gray line = noise floor.
| Right ear | Left ear | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| F2 (Hz) | DP | Noise | SNR | Rel % | Det | DP | Noise | SNR | Rel % | Det | |
| 500 | 6.2 | -4.1 | 10.3 | 99.2 | yes | 5.1 | -5.2 | 10.3 | 99.0 | yes | |
| 1000 | 8.4 | -7.9 | 16.3 | 99.8 | yes | 6.3 | -8.3 | 14.6 | 99.6 | yes | |
| 1500 | -4.1 | -9.2 | 5.1 | 91.4 | no | -6.2 | -9.1 | 2.9 | 78.3 | no | |
| 2000 | -9.3 | -11.4 | 2.1 | 72.6 | no | -10.1 | -12.0 | 1.9 | 70.2 | no | |
| 3000 | -12.8 | -13.9 | 1.1 | 61.3 | no | -14.0 | -13.8 | -0.2 | 49.5 | no | |
| 4000 | -15.2 | -15.0 | -0.2 | 50.4 | no | -16.2 | -16.0 | -0.2 | 50.8 | no | |
| 5000 | -16.4 | -17.2 | 0.8 | 58.9 | no | -16.9 | -17.3 | 0.4 | 55.1 | no | |
| 6000 | -17.1 | -16.8 | -0.3 | 49.7 | no | -18.1 | -17.9 | -0.2 | 48.3 | no | |
| 7000 | -16.3 | -17.5 | 1.2 | 57.2 | no | -17.6 | -17.2 | -0.4 | 47.9 | no | |
| 8000 | -18.2 | -18.4 | 0.2 | 51.0 | no | -19.2 | -19.0 | -0.2 | 50.2 | no | |
| 9000 | -19.0 | -18.8 | -0.2 | 48.6 | no | -18.9 | -19.4 | 0.5 | 54.4 | no | |
| 10000 | -20.3 | -19.6 | -0.7 | 44.9 | no | -20.1 | -19.8 | -0.3 | 46.0 | no | |
Interpretation: Distortion Product OtoAcoustic Emissions (DPOAE) - Right ear: present in the low frequencies, absent in the mid and high frequency bands. Left ear: present in the low frequencies, absent in the mid and high frequency bands.
OAE system, SN 61127 · calibrated 3/17/2026 (IEC 60645-6)
Next due 3/17/2027 · certificate on file
Page 1 of 4The report
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