We report a case of foreign body incidentally detected in external auditory canal, masquerading as an Osteoma on imaging. The case was an 11 year old boy who presented in paediatric OPD of a rural health centre with scalp swelling of 15 days duration and MRI which reported Osteoma in EAC. He manifested with no auditory symptoms in his daily life. Incidental finding on MRI necessitated Otorhinolaryngological consultation. Examination under microscope revealed a stone of about 7x5 mm which was removed under vision. Our objective is to emphasize the significance of meticulous clinical examination to achieve correct diagnosis and appropriate management.
Key words: Foreign body; external auditory canal; Osteoma; MRI