### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
iv just found an immobile boney lump behind my right ear. its appeared in the last 2 hrs there are no breaks to the skin and iv had no trauma. its sore to touch and iv had a few white head spots on my scalp over the past few days. the lup appears to be totally different and unrelated.

### output:

HI, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns painful sore hard bony post auricular lump on right side. Cause about painful sore lump, which is hard immobile behind ear-The facts of your query indicates that you have white acne or keratitis with white heads in the scalp / or could be psoriasis white scales. As the lump is noticed in last 2 hours with sore white head spots, White Anne / or Acne with blocked white sebum, due to hair folliculitis of subacute type, seems to be the possibility in your case. To rule out Lupus would need Er dermatologists opinion, as I don't think it to be lupus. Due to ambiguity in your complaints, to rule out if it could be normal mastoid bone also, Second opinion from ER Surgeon is advisable in your case.Hence, I would definitely advise you to get Second Opinion from Er Surgeon simultaneously, to avoid further complications of missed diagnosis. So don't forget to take Second opinion from ER Surgeon. Hope this reply would satisfy your query and would resolve the worry with it. If you feel satisfied with this reply, dont forget to hit thanks and write excellent review comments, which would improve my rating for new needy visitors to Chat Doctor. Welcome for any further query in this regard to Chat Doctor. Have a good day. With Chat Doctor. N.M.S. Genl-CVTS, Senior Surgical Specialist