Sago grain appearance is seen in
Myringitis bullosa It is a painful condition characterized by the formation of haemorrhagic blebs on the tympanic membrane and deep meatus. It is probably caused by a virus or Mycoplasma pneumonia. Ref: Dhingra, ENT, 6th edition, pg no.55
Healed myringitis bullosa
Otomycosis
Malignant otitis externa
Keratosis obturans
Ear