The remainder of the middle ear shows abnormal opacification of the mesotympanum and hypotympanum and partial opacification of the attic. Again noted is poor pneumatization of the mastoid air cell complex. The ossicles are again noted to be abnormally shaped and have abnormal relationships to each other, worse than the right side findings. Again noted is a dilated vestibular aqueduct, vestibule and cochlea, consistent with severe congenital abnormality. The vascular structures are intact on both sides without evidence for carotid artery dehiscence.