Case 99: Superficial Hemangioma || Ultrasound

    

Clinical Features:

A 7-year-old boy came with a bluish lump at the right superior aspect of the back of the chest.

Ultrasound Features:

- An oval lobulated hypoechoic area is noted at the subcutaneous layer of the back of the chest.

- Color Doppler shows high vascularity within the lesion of both arterial & venous types. 

- The feeding artery arises from adjacent chest wall arteries with a high velocity moderate resistant flow. 

Remember:

Whenever you get a lipoma-like mass in a child, use color Doppler to exclude hemangioma.

Ultrasound Diagnosis:

Superficial Hemangioma

Ultrasound Images:

Oval lobulated hemangioma is noted at the subcutaneous layer of the back of the chest

Color Doppler shows high vascularity within the lesion of both arterial & venous types

The feeding artery arises from adjacent chest wall arteries with a high velocity moderate resistant flow

B-flow shows high vascularity within the lesion 

Power Doppler shows high vascularity within the lesion 

3D ultrasound of the lesion

Hemangioma with convex transducer showing no intrathoracic extension

YouTube Link:

For further demonstration, don't forget to check our video:

YouTube Link