CASE HISTORY / CLINIC:
Patient with reddish-bluish lesion around the left lips and cheeks since birth. Lesion has been
gradually progressing for a few years now and is soft and non-dolorous upon palpation.


FINDINGS:
Demonstration of a large inhomogeneous mass lesion in the left cheek and on the left side of the lip as seen in the T2 image (upper left image). Signal effacement is seen, typical of calcifications.
The margins of the mass are even better seen in the contrast-enhanced T1 image (upper right image). Signal effacements are also seen here in association with thrombosed vessels or calcifications.
The right side appears normal in the MR angiography (lower left image).
The MR angiography of the left side (lower right image) demonstrates the extensive vascularization of the tumor by branches of the external carotid artery.


DIAGNOSIS:
Hemangioma of the cheek and lips


DIFFERENTIAL DIAGNOSIS:
Lymphangioma


Web resources:

1) Amersham Health