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ng-Reporting and Data System 3 and 4. Multiple image acquisition planes of diffusion-weighted imaging should be given more attention in the Vesical Imaging-Reporting and Data System. The similar visual appearance of high-risk basal cell carcinoma (BCC) andcutaneous squamous cell carcinoma (cSCC) may cause confusion for diagnosis. High-frequency ultrasound (HFUS) may provide additional intralesional information and thus help to distinguish them. Inthis retrospective study, we analyzed the clinical characteristics, HFUS grayscale, and colo