Table 4.

Differential diagnosis of enhancing middle ear lesions [12, 15]

Benign	Malignant	Enhancing lesions with jugular foramen widening	Enhancing lesions without jugular foramen widening
Paraganglioma (glomus tympanicum)	Primary malignancy	Paraganglioma (glomus jugulare)	Paraganglioma (glomus tympanicum)
Paraganglioma (glomus jugulare)	Metastasis	Jugular bulb (dehiscent)	Hemangioma
Jugular bulb (dehiscent)	Rhabdomyosarcoma	Schwannoma (jugular foramen)	Adenoma
Hemangioma		Meningioma (jugular foramen)
Schwannoma		Metastasis
Meningioma
Adenoma
Langerhans cell histiocytosis