The mass varies in consistency from soft/fluctuant to hard. The ear itself is often tense, fluctuant, and tender with throbbing pain. This is also associated with fluctuant glycemia throughout the day. They are usually dark red-purple or blue, soft, sometimes fluctuant (5) and painless. The lesions may be painful or painless and may become fluctuant. On palpation, mucoceles may appear fluctuant but can also be firm.