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Sternocleidomastoid hemangioma

Case contributed by Praveen Jha
Diagnosis almost certain

Presentation

Soft neck swelling. No pain. No pulsatility.

Patient Data

Age: 25 years
Gender: Male

A lobulated intramuscular lesion in proximal sternocleidomastoid muscle, appearing mildly hyperintense on T1W images and bright on fat-suppressed images is seen, with few signal voids within.

Case Discussion

Possibilities are of a soft tissue tumor versus vascular lesion. However, contrast-enhanced study could not be done.

Intra-operative appearance and histopathology proved it to be a hemangioma.

Intramuscular hemangioma is quite rare in the sternocleidomastoid muscle, and this case depicts typical MR characteristics of lesion.

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