This AD EAC image [inline below (20k)] was obtained from an 86 year old female patient. A candidate for a CLASS II canal hearing aid in that ear, a 2mm diameter epithelial pit was noted in the floor of the cartilaginous EAC. The pit was 5mm deep and filled with cerumen. The line drawing [inline image below (9k)] shows the location of the non-infected pit on the inferior surface of the lateral EAC. ENT consultation was sought re implications for hearing aid use and aural hygiene.