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A lump in the eyelid for three weeks

Clinical history

Urgency
Routine

A 29-year-old with a painless lump in the upper eyelid for three weeks after an episode of lid swelling.

Examination
A firm nodule within the tarsus, skin freely mobile over it, a red or yellow granuloma on everting the lid.

Presentation typical of this diagnosis, written for teaching. The source dataset provides the image and its label only, with no accompanying clinical record.

The study opens when you begin.

Read the history first and decide what you expect to find. Committing to an expectation before you look is most of what separates interpreting from noticing.

Step 1 of 3 · Read the history

Study: External photograph

Describe the abnormality and give the most likely diagnosis. You will locate the finding first; the answer options stay hidden until you have.