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Patient details :

Mr. Dilbagh Singh, 45 yrs./M

Chief complaints :

- Right ear foul smelling discharge on and off since > 3 months.
-Decreased hearing left ear since 3 months

Relevant history:

- There is no h/o ear surgery or trauma.


- There is no h/o ear pain, fever, headache, tinnitus or imbalance.

Examination & Investigations :

- Right ear : Posterosuperior retraction pocket with mucopurulent discharge.


- Left ear : NAD

Provisional Diagnosis /Ddx :

- CSOM Left with AAD

Investigation/Procedure requested :

CT scan B/L temporal bones is required to delineate the pathology and to plan surgical intervention if
required. Kindly provide us approval for the same.