Intramuscular haemangioma - masseter muscle

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Painless swelling of the right parotid region. Ultrasound exam was inconclusive.

Patient Data

Age: 15 years
Gender: Female
This study is a stack
Axial
T1
This study is a stack
Axial T1
fat sat
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Axial
T2
This study is a stack
Coronal T2
fat sat
This study is a stack
Axial T1 c+ FS
early phase
This study is a stack
Axial T1 C+
FS delayed
This study is a stack
Coronal T1C+
FS delayed
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
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Info

A small lobulated soft tissue mass is noted within the right masseter muscle, isointense to the muscle on T1WI, markedly hyperintense on T2WI with progressive enhancement and complete fill-in on delayed postcontrast sequences. No restricted diffusion is seen on DWI/ADC. 

Case Discussion

MRI features characteristic of an intramuscular haemangioma within the masseter muscle.

Haemangioma within the masseter muscle may be confused with a parotid tumour or other muscular lesions. MRI exam is the modality of choice to precise its origin, characteristics features as well as its extent.

Additional contributor: Houssam-eddine Kouachi, Radiographer CIM Aurés, Batna, Algeria

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