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Symptom: Middle Ear Fluid

A 70-year-old man with a four-year history of intermittent left ear plugging came for consultation. He said that the fluid goes on for a couple of months, resolves, then starts again. He had a tube placed in his ear, followed by continuous drainage. The tube was removed due to a possible allergic reaction. Several years ago, he had imaging studies of his temporal bone that were inconclusive. His otoscopic examination is on the right. The rest of his head and neck exams, including a nasopharyngeal exam, came out normal.