intramuscular hemangioma ( RID3982 )
x-ray: dorsal soft tissue swelling. Coarsened trabeculae and thick cortices in 2nd and 3rd metacarpals. Phlebolith (palpable for years).
MRI: soft tissue h(a)emangioma with medullary involvement. Supports theory that soft tissue component correlates with medullary involvement and intraosseous signal change. See Osseous Change Adjacent to Soft-Tissue Hemangiomas of the Extremities: Correlation with Lesion Size and Proximity to Bone.
Rate Case : GoodGreatExcellentWOW !!!