Lumps and bumps of the eyelid and conjunctiva are of concern due to the possibility of malignancy. Proper diagnosis and treatment is important for both the clinician and for the patient. A healthy 25 year old Caucasion female, who wore daily wear gas permeable contact lenses, awakened one morning with her right lid matted shut with blood. Although she noted her upper lid was slightly swollen and tender to pressure, she was otherwise asymptomatic. A blood filled mass was seen hanging freely from the palpebral conjunctiva upon lid eversion. It was located in the upper medial fornix, with several large papillae surrounding it. An ophthalmological consult yielded a diagnosis of a pyogenic granuloma. It was treated with an antibiotic-steroid drop, resolving in approximately three and half weeks. Photos, differential diagnoses, and treatment options will be presented for this curious and rather uncommon lump.