I've had this pulsatile tinnutis in my right ear since 2007. Been to 2 different ENTS and had an MRI done. Nothing was found out of the ordinary except some hearing loss in 2011. I have read countless articles on it but haven't found a source or cure for it yet. I have noticed that after taking a shower it quiets right down and I feel almost normal again until waking when it starts all over again. Its loudest when I wake and later on in evening. Confused......you bet !! My Dr. suggested an ultrasound on my neck arteries to rule out carotid artery disease........does anyone know/or has had this done????