Soft tissue hemangioma
Painless hand swelling.
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In the radial portion of the hand, there is a heterogeneous soft tissue mass which contains numerous small spherical calcifications characteristic of phleboliths. The bones appear normal.
Features on x-rays most likely represent hemangioma which is a common, benign soft-tissue tumor. They can arise from skeletal muscle, skin, subcutaneous tissue and synovial tissue. Calcification is common.