<p>Dermoscopically there are grouped clods meaning the lesion is melanocytic. Using the associated algorithm there is asymmetry PLUS eccentric structureless areas (arrows), which on its own is of concern. In addition there is some variation in the clods of size, colour, and distribution (circles) in a patient with a past history of melanoma. </p><p>The lesion was excised with a histological diagnosis of melanoma in situ. </p>