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In computed tomography (CT) scans, correctly distinguishing the jugular foramen from the hypoglossal canal is critical for diagnosing posterior fossa pathologies; however, this differentiation of these crucial skull base elements remains challenging. This research sought to devise a straightforward algorithm for identifying the jugular foramen and hypoglossal canal on axial CT scans, applying the algorithm across two levels: one showing the carotid canal and a second lev