Facial hemangioma - pediatric

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Right facial swelling progressively increasing in size since birth.

Patient Data

Age: 1 year
Gender: Male
mri

Well-circumscribed lobulated facial soft tissue mass centered on the right cheek, anterior to the buccal fat pad and masseter muscle and adjacent to the lateral aspect of the mandible, measuring 34 x 27 x 22 mm. It elicits an isosignal to muscle on T1, high signal on T2 containing signal void vascular structures with dilated facial and retromandibular veins and vivid enhancement on post-contrast sequences.

Case Discussion

MRI features most consistent with facial hemangioma.

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