Fig 1. Six-year-old girl with complicated bilateral acute otitis media. Transverse (A) and coronal (B) MDCT sections of the right temporal bone. Transverse (C) and coronal (D) MDCT sections of the left temporal bone. A well-defined hypoattenuated area (black arrow) is seen in the anterior aspect of the otic capsule on both sides. The hypoattenuated focus of the fissula ante fenestram (white arrow) is also apparent.