Bilateral severe maxillary sinus disease is present with a complete opacification of the right maxillary sinus, in addition there is partial opacification of the bilateral ethmoid air cells. IMPRESSION: 1. Small, malformed left pinna with atresia of the left external auditory canal and non-visualization of tympanic membrane. 2. Malformation and malrotation of the ossicles on the left with small middle ear cavity.