Child had AOM episode at 12 months, and 14 months of age.
Exam shows middle ear effusion bilaterally.
Both ear tympanograms are flat, no compliance, no peak. Prior visits at age 14 and 16 months also revealed effusion. The boy presents to the pediatrician's office without any ear symptoms. Despite the presence of middle ear fluid, he does not have an active ear infection. The prominent vessels on the malleus represent a normal variant.