According to the Squadron - PzKpfw IV in action, this is "rectangualar ventilation flap in the roof in front of the cupola allowed for exchange of fresh air."
It also goes on to say that there was an armoured outlet cowl on the forward left side of the hull. So I guess no fume stains.
The two cone shape items on each side of it are right and left covered signal ports, used to shield signal lamps. The right side one was eliminated for the E version. The left side eliminated for the H version.
In the E version this rectangular vent flap was discarded in favour of a raised circular housing for an eletrical fan.
Some info from a worthwhile little book.