Media (pic) Diego Ferreira with the gnarly cauliflower ears

“James Thompson esq in his ear Joe”
-Mike Goldberg
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In all seriousness I think those little dots sticking out are from syringes from previous draining attempts. I have little mound things too on my ears and I am pretty sure it was where the syringe was put in and I guess it didn't heal properly

Or........ injection sites for PED's ......he only needs to squeeze that thing and he goes full PED mode......it's the perfect place to hide it, in plain sight.
 
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