46 Year Old Female with Multiple Slightly Eroded Reddish Papules on Her Arm

A 46-year-old female presented with a growth on the superior right arm that had been present for 9 months. The patient had a history of a cholecystectomy and tubal ligation. A lipoma was noted on a past physical exam, but was not removed. She was in prison 5 years ago where she contracted tuberculosis, but failed to complete course of antibiotics prescribed.