 Due to the rising incidence of BCC there is a need for more efficient, non-invasive methods to diagnose BCCs. The use of real-time in vivo reflectance confocal microscopy RCM to diagnose BCCs has proven successful to address this need. Various studies have demonstrated that RCM is safe and accurate sensitivity and specificity to diagnose BCCs2-6. Reported sensitivity and specificity for RCM in diagnosing BCC range from 83-100 and 79-97, respectively 7. Furthermore, Peppelman et al. and Longo et al. recently reported on RCM features that might divide between nodular, micronodular, superficial and infiltrative subtypes of BCC 8,9. 