An otherwise healthy 8-year-old girl presented with malaise, dizziness, nausea, and vomiting and was diagnosed as having acute otitis media. She was admitted for hydration and treatment with intravenous antibiotics because of the severity of her symptoms. She was subsequently referred to an otolaryngologist for evaluation of persistent otitis media with effusion and underwent bilateral placement of pressure equalization tubes. Audiometric testing was performed 6 months after her initial presentation. The audiogram demonstrated moderate to severe left-sided hearing loss, with some inconsistency as to the presence of a conductive component.
Page N, Kearns D. Radiology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2011;137(3):303. doi:10.1001/archoto.2011.27-a