Brief Answer: Needs attention Detailed Answer: Hi and thanks for the query, I do think the clinical scenario you describe deserves some more keen attention. It is true that alcohol intake in great quantities could lead to lymph node enlargement. The most probable cause of the lumps as you describe would be an enlargement of lymph nodes around the ear region. It might be very important to know if he has had any recent infections around the ear , nose or throat regions. Any tumor around the ear, nose and throat sphere could also manifest itself with lymph node enlargement. Enlargement of glands like the salivary glands could also present as masses behind ears. It is very important to get consulted preferably by an ENT specialist. Clinical review, X rays and CT scans would be important to better ascertain the cause, rather than neglect a potentially serious condition. kind regards and wishing you the best of health. Please, consult an ENT specialist. DR Bain

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