Bony destruction of the antero-superior wall of epitympmpanum. soft tissue retention in the left tympanic cavity and inneer portion of the left EAC with partial erosion of the left ossicular chain. Suggest tissue biopsy from the left EAC. Difficult to identify the canal for left geniculate ganglion and tympanic segment of the left facial nerve. Debris or fluid retention in the left mastoid air cells.