CLINICAL HISTORY: Boil, left groin. SPECIMEN RECEIVED: Necrotic fascia left groin and leg (anterior and posterior). GROSS DESCRIPTION: The specimen is labeled with the patient’s name and “fascia left groin and leg” and consists of multiple segments of skin and soft tissue measuring up to 30 cm in greatest dimension. The skin is unremarkable, with the soft tissue being hemorrhagic and friable and foul smelling. MICROSCOPIC DESCRIPTION: Sections of skin and soft tissue show coagulative necrosis with neutrophilic exudates. DIAGNOSIS: Skin and soft tissue, left groin and leg, anterior and posterior showing coagulative necrosis and acute inflammation