Strawberry hemangioma of the scalp

Case contributed by Kewal Arunkumar Mistry
Diagnosis almost certain

Presentation

1 year old male presented with soft, pink, compressible swelling over scalp.

Patient Data

Age: 1 year
Gender: Male
ultrasound

Greyscale ultrasound of the swelling shows a well defined subcutaneous mixed echogenicity with central hyperechoic area suggestive of fatty component. On spectral Doppler scan,  arterial and venous high velocity flow patterns are seen within the lesion typical of hemangioma.

Note mirror artifact caused by highly reflective calvarium.

Soft, pink ,compressible swelling over scalp. Appearance is typical of strawberry hemangioma.

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