A 33-year-old cisgender man who has recently emigrated from South Africa is referred to a dermatology

A 33-year-old cisgender man who has recently emigrated from South Africa is referred to a dermatology clinic with a complaint of sores in his genital region that did not respond to empiric treatment for genital herpes and syphilis. He denies having lymphadenopathy. On physical examination of the anogenital region, which one of the following findings would be most consistent with a diagnosis of granuloma inguinale? Painful hyperpigmented ulcers with flat borders Large, painless, beefy-red ulcers that bleed easily Multiple shallow, painful ulcers with a crusted superficial yellow-green exudate Painful shallow ulcers with adjacent subcutaneous nodules.