Dr. Arun Bali (General Practice) needs a second opinion on this medical case.
Painful mass under his right arm.
A 59 y/o male complaints of painful mass under his right arm
No other complaint.
Physical examination shows a firm mass of 3.0 cm * 2.0 cm.
PMH of HTN & melanoma.
Surgical history: He has h/o surgery of melanoma on the right shoulder. CT was negative for metastatic disease at that time & appendectomy also.
BP: 124 / 62 mm Hg. Rest of the vitals are normal.
CT images attached.
Need your opinion on diagnosis.