This patient has a history of hormonal acne, she also states she had a small cyst in that area in the past. Sometimes when I feel very firm nodules like this it’s just induration (mostly inflammation) with a small central pocket of purulence or cyst contents. Then other times this presentation can be very full with fluid and bits of broken down cyst. This one was a little bit of both, so it’s a tough call to say definitively. We will be able to palpate the area when she comes back for follow up and see if there was a cyst there or not. #abscess #cyst MrPopZit

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