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A 65-year-old woman with cutaneous malignant melanoma of the nose. Massive metastasis was confirmed histologically. (a) Power Doppler US shows increased vascularity with peripheral perfusion (arrows). Note an 11.4 × 5.1-mm enlarged lymph node with the absence of echogenic hilum. (b) Elastography shows almost the entire lesion as blue. Elastography can provide a malignant finding.
