History of left lateral thigh squamous cell carcinoma status post Mohs procedure 8/1/2013 Targeted grayscale and color Doppler ultrasound of the left groin swelling demonstrates a 3.2 x 2.4 x 1.3 cm hypoechoic oval mass with surrounding mild inflammatory changes and internal vascularity. No drainable fluid collection.An adjacent mildly prominent 1.7 x 0.6 x 2.2 cm lymph node demonstrates a normal fatty hilum, may be reactive.
Left inguinal solid vascular mass is more suspicious for metastatic lymphadenopathy given the history of patient's squamous cell carcinoma. Surrounding inflammatory changes without drainable fluid collection. This is amenable to percutaneous biopsy.