1. Woman With Left Shoulder Bumps
James Fitzgibbon, MD, Jonhan Ho, MD, Michele Dorfsman, MD 
Annals of Emergency Medicine 
Volume 69, Issue 4, (April 2017)
DOI: /j.annemergmed
Copyright © 2016 American College of Emergency Physicians Terms and Conditions

2. Figure 1
Red, raised, inflamed, and indurated approximately 2-cm-diameter lesion over the right anterolateral aspect of the neck.
Annals of Emergency Medicine  , DOI: ( /j.annemergmed )
Copyright © 2016 American College of Emergency Physicians Terms and Conditions

3. Figure 2
CT of the chest (axial view), with arrows indicating suspected metastatic lung nodules.
Annals of Emergency Medicine  , DOI: ( /j.annemergmed )
Copyright © 2016 American College of Emergency Physicians Terms and Conditions

4. Figure 3
Low-power (4×) view of the lesion showing significant abnormal cell proliferation (arrow) beneath normal dermis (arrowhead).
Annals of Emergency Medicine  , DOI: ( /j.annemergmed )
Copyright © 2016 American College of Emergency Physicians Terms and Conditions

5. Figure 4
High-power (40×) view of the lesion demonstrating proliferation of atypical cells with abundant eosinophilic, vacuolated cytoplasm (arrowheads) and large nuclei with prominent nucleoli (arrows).
Annals of Emergency Medicine  , DOI: ( /j.annemergmed )
Copyright © 2016 American College of Emergency Physicians Terms and Conditions

6. Figure 5
High-power (40×) view of the lesion showing that S100 immunohistochemical stain results (arrowheads) on these samples were positive.
Annals of Emergency Medicine  , DOI: ( /j.annemergmed )
Copyright © 2016 American College of Emergency Physicians Terms and Conditions