Chronic right ear discharge. Cholesteatoma or mucosal disease?
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Soft tissue occupying the right middle ear, involving Prussak spaces and the attic. Erosion of the malleus and incus, as well as the scutum.
The tegmentum tympani is intact.
Fluid in the adjacent mastoid air cells.
Small amount of soft tissue in the left middle ear. The ossicular chain is intact. Normally aerated mastoid air cells.
The typical appearances of a cholesteatoma, with destruction of the ossicular chain of the middle ear.