This Weeks Medical Challenge

It's time again to test your diagnostic skill with the New England Journal of Medicine image challenge. (click on the image to see up close)   The nodule formed in this young woman in the umbilical (naval) area and bled intermittently.  What is the diagnosis?

1.  Endometrioma
2.  Metastatic adenocarcinoma
3.  Omphalith
4.  Umbilical hernia
5.  Urachal cyst

Give me your best answer as a comment


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