Enunciado A 23-year-old male patient comes to UFMG Otolaryngology service complaining of chronic, purulent, intermittent ear discharge in both ears, currently on the right, associated with bilateral hearing impairment, more pronounced at the right side, which began at age of two. On physical exam, the Weber test was lateralized to right, the Rinnie test was negative in both ears and vocal emission was of low intensity. Brought an audiometry and a CT of mastoid (done 4 and 2 years ago, respectively). The otoscopy was documented on the following images. Otoscopy of the Left ear.Otoscopy of the Right ear.Audiometry. Question:Analyzing the images and the clinical presentation, which is the most likely diagnosis in both Right (RE) and Left (LE) ears, respectively? RE malignant/necrotizing external otitis; LE otitis media with effusion RE and LE chronic otitis media with congenital cholesteatoma RE suppurative chronic otitis media ; LE chronic otitis media RE chronic otitis media with acquired cholesteatoma; LE chronic otitis media Time is Up! Time's up
