PMC6324217_01
CT scan showing the left mastoiditis. A fluid accumulation with peripheral contrast enhancement and restricted diffusionis seen in the left mastoid (red arrow) (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article).
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Computed tomography (CT) scan of neck and brain with and without contrast revealed left sided mastoiditis (Fig. 1).
Mastoiditis, osteomyelitis of first cervical vertebra, soft tissue cellulitis of prevertebral portion of first cervical vertebra and mild changes in left petrous apex.
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MRI with/without gadolinium injection (Fig. 2). Mastoiditis, osteomyelitis of first cervical vertebra, soft tissue cellulitis of prevertebral portion of first cervical and mild change in left petrous apex reported.
Three-dimensional cervical CT scan showing first and second cervical vertebra subluxation (red arrow).
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To assess additional probable problem and need for fixation of neck we did neck CT scan with and without contrast with reconstruction of sagittal, coronal plane and three dimensions (Fig. 3).