Question: A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is round and feels hard. He has several more of these scattered on the forehead, arms, and legs. Based on this description, what is your most likely diagnosis?

Question: A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is round and feels hard. He has several more of these scattered on the forehead, arms, and legs. Based on this description, what is your most likely diagnosis?

Answer:
The most likely diagnosis for a 68-year-old retired farmer with a skin lesion on the right temporal area of the forehead is seborrheic keratosis. This condition is characterized by flattened papules that are the same color as the skin, covered by a dry scale that is round and feels hard. Seborrheic keratoses can occur on the forehead, arms, and legs, and are usually benign.