A 74-year-old male with a history of metastatic melanoma presents with persistently abnormal small bowel findings on PET-CT scan. The patient had persistent FDG uptake near the ileocolic junction on imaging. concerning for metastatic melanoma. Capsule endoscopy demonstrated ulcerated mucosa in the distal ileum. https://www.roneverhart.com/Gap-Kad-n-Sneaker-p2955/