File:Necrotizing otitis externa (Radiopaedia 19938-19971 Axial bone window 5).jpg

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Summary:

Description
  • Radiopaedia case ID: 19938
  • Image ID: 2473534
  • Image stack position: 5/5
  • Plane projection: Axial
  • Aux modality: bone window
  • Modality: CT
  • System: Head & Neck
  • Findings: Unenhanced CT head and neck was performed given the patient had previous anaphylactic reaction to intravenous iodinated contrast. Ideally in cases of suspected necrotizing otitis externa contrast enhanced CT should be performed in the absence of contraindication. Images demonstrate pronounced swelling of the left external auditory meatus (EAM), pinna and periauricular soft tissue. No periauricular or subperiosteal collection was detected. Fluid is present in the left mastoid sinuses without evidence of bone erosion. Anteroinferiorly from the EAM there is marked enlargement of the left parotid gland, but without a definitive collection identified. The fat plane between the parotid gland and masticator space is obliterated. Anteriorly there is swelling of the left masseter muscle which is of low heterogeneous attenuation. Imaging features are consistent with necrotizing otitis externa with spreading infection to the parotid and masticator space. The depressed immunostatus post recent chemoradiotherapy is a risk factor to necrotizing otitis externa in this patient.
Date Published: 24th Oct 2012
Source https://radiopaedia.org/cases/necrotising-otitis-externa-1
Author Charlie Chia-Tsong Hsu
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current21:19, 3 August 2021Thumbnail for version as of 21:19, 3 August 20211,534 × 1,390 (599 KB)Fæ (talk | contribs)Radiopaedia project rID:19938 (thread B) (batch #25157-15 C5)

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