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Medical Mystery

Quillen College of Medicine

Medical Mystery of the Week

Because of the COVID19 pandemic you are practicing telemedicine. You are presented a case of a 25-year old woman who presents with a chief complain of painful "lumps" on the front of her legs (see picture below).  She denies any other symptoms and her past medical history is unremarkable. With the exception of the leg findings, her physical eamination is reported as normal. You are shown a PA and right lateral chest x-ray (see below).
What is your diagnosis, what test(s) would you order to confirm your suspicions, and what treatment, if any, do you recommend?

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