O/E: Light complected Caucasian with 6 mm in diameter black papule right anterior thigh. The dermatoscopic appearance shows a somewhat starburst appearance at the periphery.
Photomicrographs (courtesy of Deon Wolpowitz, Boston University Skin Path)
Diagnosis: Clinically and dermatoscopically and pathologically, this is a Reed Nevus.
Plan: The lesion has been excised with modest margins..