Soft tissue thickening in the left external auditory canal, with periauricular soft tissue stranding.
Opacification of the middle ear cavity and mastoid air cells.
No bone erosion / destruction; EAC, TMJ, ossicles, mastoid cells all intact.
No intracranial complication; no collection, pneumocephalus, venous thrombosis.
No nodal abnormality.
Other findings:
Post radiotherapy changes in the neck; fat reticulation, fascial / platysmal thickening, gland hyperenhancement, mucosal thickening (see epiglottis on sagittal).