The white "cyst" seen in this middle ear behind the right tympanic membrane in this teenager is a congenital localized epidermal cyst [a congenital cholesteatoma].
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![External Auditory Canal Junction [the Isthmus]](https://medtube.net/images/min/ed89ef2b09553cecbd7125f5b3fd1867/115/70/1 "External Auditory Canal Junction [the Isthmus]")
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