December 2012




HPI: A 57 year-old African American man was referred to the dermatology clinic for a mass on his left posterior scalp, which had been growing for several years. The lesion was occasionally tender but otherwise asymptomatic.

Past Medical History: hypertension, cerebellar hemorrhage due to hypertensive crisis 2008 (resolved on subsequent imaging studies), ataxia, alcohol abuse

Allergies: No known drug allergies

Medications: clonidine, metoprolol, norvasc, aspirin

Social History: Denies alcohol, smoking, or illicit drug use

Family History: Non-contributory

Physical Exam: The patient had a large, soft, mobile, subcutaneous mass without any skin surface texture changes on the left posterior-occiput (Figs.1, 2).

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