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I have viewed the images (attachment removed to protect patient identity). These images are confidential and shared only with me. Yes, these are genital warts which are skin colored to hyperpigmented, rough looking lesions. Some of them look pedunculated. Genital warts or condyloma acuminata is an STD (sexually transmitted diseases) caused by HPV (human papilloma virus). The lesions of molluscum contagiosum are dome-shaped, sessile, pearly white in color, and smooth with a central indentation or pit. Molluscum is also a viral infection, but it is caused by a different virus known as molluscum contagiosum virus.