Please write down your initials
*
Please write down the case number.
*
Is there a blue-white veil? (Please skip all remaining questions except the diagnosis question if "No")
*
Yes
No
Is there both a polarized and a non-polarized image?
Yes
No
Does the blue-white veil cover the entire lesion?
Yes
No
Please select the structures that are present within the blue-white veil and whether they appear in the non-polarized and/or polarized image. If the structure appears in both images, please select whether it is more conspicuous in the polarized or non-polarized image. If the structure is not present in either, please leave the entire row blank.
Rows
Non-Polarized
Polarized
More Conspicuous On
Blue White Veil
Non-Polarized
Polarized
Equal
Milia
Non-Polarized
Polarized
Equal
Comedo
Non-Polarized
Polarized
Equal
Gyri/Sulci
Non-Polarized
Polarized
Equal
Network
Non-Polarized
Polarized
Equal
Dots/Globules
Non-Polarized
Polarized
Equal
Blotches
Non-Polarized
Polarized
Equal
Regression
Non-Polarized
Polarized
Equal
Streaks
Non-Polarized
Polarized
Equal
Vessels
Non-Polarized
Polarized
Equal
Shiny White Structures
Non-Polarized
Polarized
Equal
Negative Network
Non-Polarized
Polarized
Equal
Angulated Lines
Non-Polarized
Polarized
Equal
Structureless
Non-Polarized
Polarized
Equal
Annular-granular Pattern
Non-Polarized
Polarized
Equal
Please select the structures that are present within the blue-white veil.
Rows
Structures
Blue White Veil
Milia
Comedo
Gyri/Sulci
Network
Dots/Globules
Blotches
Regression
Streaks
Vessels
Shiny White Structures
Negative Network
Angulated Lines
Structureless
Annular-granular Pattern
Please select the structures that are present outside the blue-white veil and whether they appear in the non-polarized and/or polarized image. If the structure appears in both images, please select whether it is more conspicuous in the polarized or non-polarized image. If the structure is not present in either, please leave the entire row blank.
Rows
Non-Polarized
Polarized
More Conspicuous On
Milia
Non-Polarized
Polarized
Equal
Comedo
Non-Polarized
Polarized
Equal
Gyri/Sulci
Non-Polarized
Polarized
Equal
Network
Non-Polarized
Polarized
Equal
Dots/Globules
Non-Polarized
Polarized
Equal
Blotches
Non-Polarized
Polarized
Equal
Regression
Non-Polarized
Polarized
Equal
Streaks
Non-Polarized
Polarized
Equal
Vessels
Non-Polarized
Polarized
Equal
Shiny White Structures
Non-Polarized
Polarized
Equal
Negative Network
Non-Polarized
Polarized
Equal
Angulated Lines
Non-Polarized
Polarized
Equal
Structureless
Non-Polarized
Polarized
Equal
Annular-granular Pattern
Non-Polarized
Polarized
Equal
Please select the structures that are present outside of the blue-white veil.
Rows
Structures
Milia
Comedo
Gyri/Sulci
Network
Dots/Globules
Blotches
Regression
Streaks
Vessels
Shiny White Structures
Negative Network
Angulated Lines
Structureless
Annular-granular Pattern
What is your final diagnosis?
Please Select
Melanoma
Seborrheic Keratosis
Other
Indeterminate
Please enter the diagnosis.
Please write down the case number
Submit
Should be Empty: