R. NICKBRYANMDS. JAMESZINREICHMD
The patient's chest x-ray film showed upper lobe consolidation, and the computed tomographic scan showed almost complete opacification of the right middle ear cavity and mastoid air cell system but no evidence of bony destruction or erosion of the facial canal. Her diabetes and prolonged use of steroids were relevant etiologic factors. Histologic examination of the pale mastoid tissue showed necrotizing granulomas consistent with tuberculosis, and sputum cultures yielded Mycobacterium tuberculosis.
Imaging Quiz Case 2. Arch Otolaryngol Head Neck Surg. 1998;124(3):343. doi:10.1001/archotol.124.3.340