Question: A 4 year old is evaluated for conductive hearing loss. Prior PE tube placement did not yield fluid nor did it improve the conductive loss. CT imaging reveals a rounded opacity in the anterior superior quadrant of the middle ear space. The stapes is not clearly visualized. What is the most likely diagnosis?

a) Congenital cholesteatoma

b) Tympanosclerosis

c) Middle ear adenoma

d) Glomus tympanum

[Answer will be posted with next week's new question]

Answer to last week's question, “Eye Spy” (November 23, 2020)

D - Tonometry