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Background and Objectives:The purpose of this study is to determine the prevalence of abnormalities in the mastoid cavity and middle ear in a non-ENT population, and to correlate with clinical data. Subjects and Method:Cross-sectional study. We pro-spectively evaluated a total of 100 adults and 30 children undergoing MRI scan for suspected intracranial pathology from May The T2-weighted images were reviewed. The abnormalities found on MRI were divided into 1) mastoid cavity abnormality, and 2) middle ear abnormality. Al patients were asked to complete a questionnaire pertaining to symptoms of mastoid/middle ear path-ology and history of previous otitis media. Also, their ears were examined carefuly by otoscope or otomicroscope. Results:In both groups, most of abnormalities were foof the mastoid cavity were significantly correlated to clinically significant mastoid/midle ear diseases in adults. Conclusion:Incidental MRI abnormalities in mastoid cavity and middle ear detected in a non-ENT population were relatively uncomon, compared to incidental paranasal sinus abnormalities. However, clinicians should remember the posibility of the pathologies of adults.