instruction: hello doctor I am a 40 year old male I have perforated right ear for the past 20 years and get discharges on various occasions and treated every time but I have no discharges for the last three years as a routine checkup I am asked for a it scan and the findings are as follows right sided mastoid air cells are partially sclerosed with reduction pneumatization however no collection is seen at present in mastoid air cell or middle ear cavity right maxillary small retention cyst mild dna with nasal septal spur I have no problem in the ear except a tension pull in nerves veins around the right ear while moving my head to and fro I am currently taking antibiotics and montelukast my lab report shows abc 9600 see you my neutrophils 74 lymphocytes 18 monocytes 01 eosinophils 07 basophils ear first hour 06 my
output: hi you have right sided chronic otitis media which is a common type of chronic middle ear infection it is common to have recurrent ear discharge in this condition because of the perforated eardrum since your ear is dry for three years you need not worry much as far as it computed tomography findings are concerned sclerosis of the mastoid is common in patients with perforation of eardrum with earlier infections it is absolutely normal in you to have these findings there is nothing to worry about maxillary retention cyst is a common incidental finding in routine it scan and not a problem to worry about if you do not have nose related problems dna with spur if asymptomatic like nose block is also a common incidental finding and can be present in many normal individuals so your it scan report can be considered normal for all practical purposes