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 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.