This photo is a recent case that was submitted to me. Notable features were the very dark pigmentation of these lesions and their irregular contours. They also appeared larger than most moles. The risk for a malignant melanoma was significant so we contacted the patient and had him in the office the next day for a biopsy. Fortunately, once in the office the pigment was not as dark as in the photo but one lesion was still suspicious so a biopsy was done. The pathology report revealed a benign nevus. This was a nice example of using teledermatology to get an expedited office visit and a biopsy.