A 31-year-old man presented with bilateral hearing loss and tinnitus. There is a family history of similar problems. Examination of tympanic membranes was performed  ( as indicated in the image ) What is the most likely diagnosis for this patient?

*This case is from Docplexus editorials team for educative purpose only. Source: University of Nottingham Surgical Society - SCRUBS Stay connected, the answer will be posted in the next 48h!