Computed tomography image demonstrating bilateral mastoid effusions (left complete [red arrow], right partial [blue arrow]) with left middle ear space partial effusion (blue arrow) ipsilateral to a left-sided nasogastric tube (white arrow). Computed tomography image demonstrating bilateral mastoid effusions (left complete [red arrow], right partial [blue arrow]) with left middle ear space partial effusion (blue arrow) ipsilateral to a left-sided nasogastric tube (white arrow). The right middle ear space appears normal (green arrow). Phillip Huyett et al. Respir Care 2017;62:350-356 (c) 2012 by Daedalus Enterprises, Inc.