Ear pain gradually worsening since one month.
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Complete opacification of the middle ear cleft (namely the epi,meso and hypotympanum),the mastoid antrum and the mastoid air cells a by fluid density.
No bony erosive changes. (intact scutum,ossicular chain & tegmen tympani).
Bulging right tympanic membrane.
Left deep external auditory canal irregular soft tissue density which shows internal air, likely wax.
This case is a CT presentation of acute oto-mastoiditis.