A 3-year-old boy is brought to your office by his mother for evaluation of fever loss of appetite and emesis. The symptoms have been present for 2 days; the fever is only temporarily relieved with antipyretics.

A 3-year-old boy is brought to your office by his mother for evaluation of fever loss of appetite and emesis. The symptoms have been present for 2 days; the fever is only temporarily relieved with antipyretics. You perform a physical examination and diagnose otitis media. What is your most likely physical finding on otoscopic examination?

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