Soft tissue hemangioma

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Ankle twist.

Patient Data

Age: 15 years
Gender: Male
x-ray

Group of phleboliths are seen clustered in the posterior lower leg.

mri

Soft tissue lesion encasing the flexor hallucis tendon, The lesion is of intermediate signal at T1 & high signal at T2 & STIR with prominent enhancement on post contrast images, it also show multiple foci of dark signal ( representing the phleboli at the plain X-ray).

Patchy marrow signal of the examined bones.

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