Image Challenge Q: What is the diagnosis? 1. Cryptorchidism

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Presentation transcript:

Image Challenge Q: What is the diagnosis? 1. Cryptorchidism 2. Femoral-artery pseudoaneurysm 3. Iliopectineal bursitis 4. Inguinal hernia 5. Metastatic inguinal lymphadenopathy

Image Challenge Q: What is the diagnosis? Answer: Metastatic inguinal lymphadenopathy The findings are most consistent with metastatic inguinal lymphadenopathy, a common site of metastasis for tumors located in the lower extremities, pelvis, and back. Enlarged lymph nodes are not always visible, but should be palpable. This patient died 3 months after presentation, following a diagnosis of metastatic malignant melanoma that had arisen on the back.