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I am very curious about the lump on Pinky's arm. It seems to be growing bigger every year. Could be melanoma. I'm sure he can afford to see a good dermatologist.
From the location of the lump, I would guess it has something to do with Frequent PICC line insertion. Maybe scarring from it and keloid growth. Should post this pic on here and ask some of the bros who are doctors. I suspect he had and has been having frequent blood transfusions.