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Clinical Problem Solving: Radiology
June 2003

Radiology Quiz Case

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2003;129(6):683. doi:10.1001/archotol.129.6.683

A 56-YEAR-OLD man presented with a 3-year history of right-sided retroauricular pain radiating toward the occipital area and the upper part of the neck. His hearing ability had diminished slightly on the affected side, and he was experiencing an intermittent, unspecific sense of disequilibrium. The pain had worsened considerably during the past 3 weeks and had imposed a restriction on neck movement. Otologic history revealed that 2 years earlier the patient had a right-sided paracentesis that had been caused by serous otitis media. Since then, he had had an intermittent aural discharge, which had responded to treatment with mixed antibiotic and anti-inflammatory eardrops. His medical history was otherwise unremarkable. He had abused alcohol and nicotine, however, and his personal hygiene was mediocre.