How would you manage this lesion identified by AI?

This week we revisit a case from Dr Terry Harvey's practice. A female patient presents for a follow-up skin check in the setting of a previous melanoma. She has total body photography repeated with each of her skin checks. 

Below is a comparison of her previous imaging (left) and her latest imaging (right). The artificial intelligence identifies the lesion circled in red as new from her previous images.

The dermoscopy photo is also of the circled lesion, which is located on her back.

Please refer to the total body photography and dermoscopy images below. What would you do here?

Update

The lesion was excised, and the pathology returned as nodular basal cell carcinoma with clear margins.

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