Urgent CT scan was done to rule out intracranial complications, and it showed features of tympanomastoiditis and soft tissue shadow involving the middle ear and attic areas (Figures 1(a) and 1(b)).
MRI with contrast showed asymmetrical signal changes in the bilateral petrous bone with reduced enhancement on the left with high suspicion of petrositis, in the context of chronic tympanomastoiditis (Figure 2(a)).
Exploration of the mastoid and middle ear showed tympanomastoiditis with a lot of granulation tissue in the middle ear, mastoid, and attic; canal wall down procedure was done with successful result after postoperative follow-up.
However, the patient explored later on for tympanomastoiditis disease.
