Objective:To explore the usefulness of MRI in nasopharyngeal carcinoma(NPC) with seretory otitis media(SOM).Method: MRI of the nasopharynx and matoid in 130 cases with NPC pro and postirrdiation were analyzed.Result:Total incidence rate of SOM was 42% after irradiation.Conclusion:MRI for the patient with NPC is useful for the diagnosis of SOM induced by NPC.