R. NICKBRYANMDS. JAMESZINREICHMD
A 54-YEAR-OLD man presented with fetid otorrhea in his left ear that had been developing over several years. It had been treated periodically with ear drops. Otoscopic examination revealed a tympanic membrane perforation in the posterosuperior portion, exhibiting a greenish pus with white keratinous scales. Pure tone audiometry indicated the existence of a conductive hearing loss in the left ear. The rest of the examination revealed no other abnormalities except uvular hypertrophy.
Ramírez-Camacho R, Vicente J, Ramón y Cajal S. Imaging Quiz Case 2. Arch Otolaryngol Head Neck Surg. 1999;125(3):348-352. doi: