The first case illustrates a recurrent cholesteatoma in a 16 year old male child who previously had a modified radical mastoidectomy and tympanoplasty. Recurrent cholesteatoma; 16y. male. The second case is that of a 6 year old male child with a multi-lobated congenital (primary) cholestatoma in the right mesotympanum. (top) Right ear multi-lobated primary cholesteatoma; (bottom) Left ear, WNL. Case contributed by Kevin Pons, M.S., FAAA; Yankton Medical Clinic; Yankton, SD posted April 4, 2000