Soft tissue hemangioma - foot

Case contributed by Mohamed Mahmoud Elthokapy
Diagnosis certain

Presentation

Painless swelling at the foot since birth however recently suffered pain during walking and standing.

Patient Data

Age: 10 years
Gender: Female
mri
This study is a stack
Coronal
STIR
This study is a stack
Coronal
T2
This study is a stack
Axial
T1
This study is a stack
Sagittal
STIR
This study is a stack
Sagittal
T1
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Info

A well-defined oblong-shaped lobulated subcutaneous and deep fascial mass lesion is seen epicenter mainly along the plantar aspect of the foot as well as the 2nd, 3rd, and 4th toes. It appears isointense to the muscles on T1WI, high signal on T2WI, containing phleboliths of low signal on T2 fat sat.  There is encasement of the 3rd digit from the metatarsal head to the distal phalanx as well as the proximal phalanx of the 4th digit with extension to the dorsum aspect between the 3rd and 4th interdigital spaces with subcutaneous,inter-and intramuscular extensions

Case Discussion

The MRI features are most consistent with a soft tissue hemangioma of the foot.

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