Soft tissue hemangioma - calf

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Slowly growing lesion in calf since birth

Patient Data

Age: 3 years
Gender: Male
x-ray

Large soft tissue opacity at the medial aspect of the calf. A tiny focus of calcification is seen, likely phlebolith.

ultrasound

A well-defined subcutaneous lesion at the medial aspect of the calf, with heterogeneous texture. It shows avid internal vascularity (venous type) on compression and on foot dorsiflexion.

Case Discussion

Features of slow flow venous malformation (hemangioma).

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