Soft neck swelling. No pain. No pulsatility.
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A lobulated intramuscular lesion in proximal sternocleidomastoid muscle, appearing mildly hyperintense on T1W images and bright on fat-suppressed images is seen, with few signal voids within.
Possibilities are of a soft tissue tumour versus vascular lesion. However, contrast enhanced study could not be done.
Intra-operative appearance and histopathology proved it to be a hemangioma.
Intramuscular hemangioma is quite rare in the sternocleidomastoid muscle, and this case depicts typical MR characteristics of lesion.