PMC10411358_01
Arrows pointing to the two areas of non-tender swelling. One was anterior left frontal, about 3 cm above the eyebrow and 2 cm off midline, measuring 1*1*0.5 cm, and the second one was posterior and more medial, measuring 3*2*0.5 cm. Both lesions were multilobular and rubbery.
qmj-2023-03-018-g001.jpg
PMC10411358_01_qmj-2023-03-018-g001.jpg
fig1
Both lesions were lobular and rubbery in consistency (Figure 1).
CT scan showing subcutaneous isodense lesion at the left frontal part of the scalp (blow arrows) causing erosion of the underlying bone.
qmj-2023-03-018-g002.jpg
PMC10411358_01_qmj-2023-03-018-g002.jpg
fig2
Computed tomography (CT) scan of the head showed subcutaneous isodense lesions at the left frontal part of the scalp. (Figure 2).
MRI T1WI (the left image) and T2WI (the right image) show the subcutaneous lesion, which is hypointense in both sequences (blow arrows).
qmj-2023-03-018-g003.jpg
PMC10411358_01_qmj-2023-03-018-g003.jpg
fig3
Magnetic resonance image (MRI) showed the lesions as hypointense in both T1WI and T2WI, while the contrast study revealed inhomogeneous enhancement of the lesions (Figures 3 and 4).
MRI T1 with contrast showing inhomogeneous contrast enhancement of the mass (blow arrows).
qmj-2023-03-018-g004.jpg
PMC10411358_01_qmj-2023-03-018-g004.jpg
fig4
Magnetic resonance image (MRI) showed the lesions as hypointense in both T1WI and T2WI, while the contrast study revealed inhomogeneous enhancement of the lesions (Figures 3 and 4).
Enlarged, thin-walled, and irregular anastomosing lymphatic channels, lined by flat endothelial cells, are identified, growing in loose connective tissue. (Haematoxylin-eosin, origin, and magnification X10 (A) and X 40 (B)).
qmj-2023-03-018-g005.jpg
PMC10411358_01_qmj-2023-03-018-g005.jpg
fig5
They were resected totally and sent for histopathological study, which reported the masses as lymphangioma with a subclassification as cavernous type enlarged, thin-walled, and irregular anastomosing lymphatic channels, lined by flat endothelial cells are identified, growing in a loose connective tissue (Figure 5) and grossly appeared as grayish and rubbery in consistency.