It is a polymorphic Lesion (different lesion shapes at the same time)
Like : areas of skin with seborrhea (scaly red skin), comedones (blackheads and whiteheads), papules (pinheads), pustules (pimples), nodules (large papules) and possibly scarring
Here the lesion is extensive and covering the upper part of the front of the trunk.
Criteria For Spot Diagnosis:
2. Black comedones
3. White comedones