Congenital temporal bone lesions could include its different parts especially the petrous portion. Congenital aural dysplasia, middle ear and ossicular anomalies, inner ear anomalies, vascular lesions and facial nerve anomalies are included in this category. High resolution computed tomography is the gold standard imaging modality for assessing these lesions. Magnetic resonance imaging significantly improved the diagnosis especially lesions involving the inner ear. Our study included 113 temporal bones in 83 patients showing the value of HRCT and MR imaging of these congenital lesions and how this could affect the clinical and surgical management.