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CT imaging in the axial plane. A. At the level of the head of the malleus, incus body and lateral semicircular canal shows a homogenous soft tissue density in the right epitympanum and mastoid air cell system. Note that the bony septations are intact and are similar to that on the uninvolved left side. T2-weighted MR imaging at the same level in the axial plane. B. The high signal intensity of the soft tissue densities similar to the CSF in the cerebellopontine angle cisterns. The ossicles (white arrow with black outline) can be clearly seen within the fluid-filled epitympanum.

CT imaging in the axial plane. A. At the level of the head of the malleus, incus body and lateral semicircular canal shows a homogenous soft tissue density in the right epitympanum and mastoid air cell system. Note that the bony septations are intact and are similar to that on the uninvolved left side. T2-weighted MR imaging at the same level in the axial plane. B. The high signal intensity of the soft tissue densities similar to the CSF in the cerebellopontine angle cisterns. The ossicles (white arrow with black outline) can be clearly seen within the fluid-filled epitympanum.

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A 48-year old man presented with a unilateral right hearing loss of four months’ duration. A right middle ear effusion was noted on physical examination. Endoscopic examination of the nasopharynx was unremarkable. Due to the duration of the symptoms, myringotomy with ventilation tube insertion was offered as a treatment option. Upon myringotomy, cl...

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... magnetic resonance imaging in the axial plane showed that the soft tissue densities in the middle ear, the epitympanum and mastoid air cells had a naturally high signal intensity characteristic of fluid. (Figure 1 The author declared that this represents original material, that the manuscript has been read and approved by the author, that the requirements for authorship have been met by the author, and that the author believes that the manuscript represents honest work. ...

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