Magnetic resonance imaging (MRI) revealed multiple foci compatible with an inflammatory process favoring cysticercosis. Subsequent biopsy, however, was performed which revealed epithelioid hemangioendothelioma. He was discussed at in a multidisciplinary meeting and was commenced on chemotherapy. He is currently being followed up in outpatients. 

Epithelioid hemangioendotheliomas are rare vascular tumors, that represents less than 1% of all vascular tumors ^1,2. 

Epithelioid hemangioendotheliomas in the thigh are extremely rare. These tumors are most commonly encountered in the liver, lung, and bone ^1,2. They typically occur in patients aged between 20 and 40 ¹. They are usually incidentally diagnosed and over 50% of patients are asymptomatic. Most frequently, epithelioid hemangioendotheliomas show low to intermediate signal intensity on T2-weighted images ^1,2. 

Epithelioid hemangioendothelioma is an important differential diagnosis to consider in a patient with increasing deep tissue pain. A histological diagnosis is of paramount importance as the radiological signs may not be consistent ¹.