Presentation
Ear pain gradually worsening since one month.
Patient Data
Age: 25 years
Gender: Male
From the case:
Acute otomastoiditis
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Axial bone window

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.
Case Discussion
This case is a CT presentation of acute oto-mastoiditis.