Acute otomastoiditis

Case contributed by Steve Lau
Diagnosis certain

Presentation

Acute right ear pain associated with fever and tachycardia.

Patient Data

Age: 30 years
Gender: Male

Petrous temporal bones

ct

CT of the brain demonstrates right middle ear effusion with some minute gas locules likely percolating through effusion via pharyngotympanic tube. The opacification extends to the mastoid air cells with no evidence of bony destruction. (Take note that inferior tip right mastoid process has not been imaged). 

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