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    Pearl-like mass on a girl’s tympanic membrane

    The Case

    During a routine office visit for mild acute nasal congestion and possible diminished hearing, an isolated, small, pearl-like mass was noted just posterior to the umbo of the left tympanic membrane (TM) of a 5-year-old girl (Figure). She was otherwise well. There was no history of traumatic perforation of the tympanic membrane or otorrhea. 

    NEXT: What's the diagnosis?

    Robert S Bahadori, MD, FACS, FAAOHNS
    Dr Bahadori is a pediatric otolaryngologist in private practice at Otolaryngology Associates, Fairfax, Virginia.

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