The patient is a 28-year-old male from Burma, who has been living in the United States for one year. He presented with a 1.5 cm tender non-erythematous subcutaneous nodule on the right cheek. The lesion is slightly mobile and has been present for the past three years. The patient states that the lesion has gotten progressively larger over the past three years. No other lesions were identified elsewhere on his body. The clinical impression was a cystic lesion with concern for a parasitic infection versus a sebaceous cyst. A local excision of the lesion was performed.