Abstract
A 14 month old child with intractable painless otorrhoea resistant to conventional treatment with sadden onset facial palsy was referred to us for HRCT of temporal bone. A rare diagnosis of tuberculous mastoiditis was made which was confirmed by histopathological reports. In this case the use of a Multislice CT scanner (Siemens Volume Zoom) in demonstrating the intricate involvement of the middle and inner ear structures by the disease is accentuated.