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Image IQ: 74 y/o; Lump over right axillary region

Poll

A 74-year-old female presents with palpable lump over the right axillary region.

A 74-year-old female presents with palpable lump over the right axillary region.

Click on the images to enlarge. 

What's your diagnosis?

Tophaceous gout
Idiopathic tumoral calcinosis
Chronic renal disease
Systemic Sclerosis
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