PMC6803738_01
CT of the left ear without contrast medium.
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A computerized tomography (CT) of the left ear without contrast medium documented "thickening of the walls of the external auditive canal, marked thickening of the tympanic membrane, and the ossicular chain conglobated by inflammatory material" (Figure 1).
Brain MRI without and with contrast medium.
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Then, on 28/09, the patient was hospitalized at our department, and a brain MRI without and with contrast medium showed "in correspondence of the petrous rock and the mastoid on the left, a nonhomogeneous hyperintensity in the long TR sequences, compatible with the presence of flogistic tissue" (Figure 2).
Antibiogram of XDR Pseudomonas.
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On the isolated strain, E- test was performed for ceftolozane-tazobactam and ceftazidime-avibactam with MIC 8 and 2, respectively (Figure 3). 
CT scan of the left ear without contrast.
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The CT scan of the ear without contrast, performed on 10/29/2018, confirmed a "significant reduction of inflammatory material occupying the middle ear and reduction of thickening of the tissues of the external auditive canal." (Figure 4).