There is a small amount of irregular soft tissue density in the middle ear cavity located just lateral to the incus. The anterior/superior aspect of the head of the malleus lies in close proximity to the anterior wall of the tympanic cavity, however there does appear to be a cleft separating the head of the malleus and the anterior wall of the tympanic cavity. The malleus and incus are otherwise intact. The stapes is very faintly visualized, noting that it may be partially obscured by cranial nerve VII. There appears to be dehiscence of a portion of the horizontal canal for the cranial nerve VII.