There is mild prominence of the nasopharyngeal soft tissues. IMPRESSION: Small amount of soft tissue density within the medial epitympanum, nonspecific and possibly in inflammatory etiology. Nonvisualization of normal stapes on the right. Mineralization in the region of the right oval window does not demonstrate a normal relationship to the oval window. This may represent the result of prior trauma (given the history), less likely a congenital stapes deformity.