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Opacfication of the left middle ear cleft and mastoid air cells with soft tissue, associated with middle ear atelectasis,
Tympanic membrane thickening and retraction.
No bony erosion. (which differentiates it from cholesteatoma)
Intact scutum, ossicles and tegmen tympani.
Additional examination of the nasophayrnx & paranasal sinuses revealed enlarged nasophayrngeal adenoids.