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    The ice cream cone sign is a term used to describe the normal appearance of the middle ear ossicles on axial CT scan. The ball of the ice cream is formed by the head of the malleus and cone is formed by the body of the incus, with the tapering conical point formed by the short process pointing towards the aditus ad antrum. The term is also used to describe the appearance of a medium-sized vestibular schwannoma, where the intracanalicular component represents the cone and the cerebellopontine angle component representing the ice cream ball.
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