A patient reports that while they can hear sounds clearly with both ears, they have great difficulty determining whether a sound is coming from their left or right side. An audiogram confirms their hearing sensitivity is normal in both ears. Based on this information, which cognitive process is most likely impaired, and what specific types of auditory information is the patient's brain failing to properly compare and interpret?

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Specific areas within the brain are responsible for monitoring and interpreting interaural level and timing differences. By analyzing these binaural cues, the brain constructs a representation of where a sound originates along the horizontal axis.

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