This award-winning picture shows a pleshy protrouding nodule on the hand of a 14-year old boy.
This picture was a bronze award winner in the 2009 Institute of Medical Illustrators awards and was taken by Tom Kersey, Royal Gwent Hospital.
This is the latest in our series of clinical pictures which will be published every week. Click here to see all the pictures.
Clinical picture of the week: Fleshy nodule