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What Does This CT Scan Report Indicate?

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Posted on Mon, 28 Sep 2015
Question: This is my CT report, are you able to give me the results in plain English?? I am not too sure what I should do next and what treatment I should have. Thank you

CT Temporal Bone w/o Contrast Clinical Diagnosis: rt csom Technique and Findings: CT scan of the temporal bone without contrast Comparison: None There is significant asymmetric soft tissue density seen on the right lateral nasopharyngeal wall with partial obliterating the fossa of Rosenmuller .This is resulted in eustachian tube dysfunction with partial opacification of the right mastoid air cells. There is also evidence of thickening of the tympanic membrane on the right side. The middle ear cavity ,osscicles and inner ear structures are unremarkable. The left ear structures and mastoid bone are intact. The visualized paranasal sinuses and left mastoid air cells are well aerated. Conclusion: Soft tissue thickening of the right nasopharynx. For ENT assessment and direct visualization. No evidence of cholesteatoma.
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Answered by Dr. Indu Kumar (1 hour later)
Brief Answer:
Soft tissue thickening may be due to chronic inflammation etc.

Detailed Answer:
Hello

Your CT findings may suggest presence of abnormal soft tissue thickening in right nasopharynx area.This area is close to eustachian tube opening(channel which connects nasopharynx to middle ear cavity),so there may be malfunction of eustachian tube.This tube is vital for pressure adjustment,so you may have symptoms related to this.
Soft tissue thickening may be due to many causes like chronic inflammation etc.
Your condition need direct visualization of involved area by a ENT specialist.You may need biopsy of involved area.
Treatment depend upon findings.
Till then you may need conservative treatment like anti-histaminics,antibiotics,steam inhalation etc.

There is also partial opacification of right mastoid air cells,it may be due to mild mastoiditis.
Other findings like middle ear,left mastoid bone etc are normal.

So,you need further assessment by a ENT specialist.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6728 Questions

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What Does This CT Scan Report Indicate?

Brief Answer: Soft tissue thickening may be due to chronic inflammation etc. Detailed Answer: Hello Your CT findings may suggest presence of abnormal soft tissue thickening in right nasopharynx area.This area is close to eustachian tube opening(channel which connects nasopharynx to middle ear cavity),so there may be malfunction of eustachian tube.This tube is vital for pressure adjustment,so you may have symptoms related to this. Soft tissue thickening may be due to many causes like chronic inflammation etc. Your condition need direct visualization of involved area by a ENT specialist.You may need biopsy of involved area. Treatment depend upon findings. Till then you may need conservative treatment like anti-histaminics,antibiotics,steam inhalation etc. There is also partial opacification of right mastoid air cells,it may be due to mild mastoiditis. Other findings like middle ear,left mastoid bone etc are normal. So,you need further assessment by a ENT specialist. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX