PMC3628241_01
An 8 year old child with two swellings in the right side of neck enlarging on valsalva maneuver
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F1
The swellings enlarged on valsalva maneuver [Figure 1].
Doppler ultrasound showing venous aneurysm communicating with the internal jugular vein
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F2
Doppler ultrasound showed three well defined, compressible cystic lesions with venous flow, the largest one communicating with the internal jugular vein [Figure 2] and the smaller ones with the upper part (not clinically evident) and lower part of external jugular vein.
Coronal 3D TRICKS MR Venography image showing aneuryms of common facial vein [arrow] and external jugular vein [orange and blue asterisks]
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F3
Magnetic resonance venography (MRV) done with 10 ml of intravenous gadolinium-based contrast agent revealed aneurysm of common facial vein, which drained into internal jugular vein and two aneurysms of external jugular vein [Figure 3].