Abstract

A 5-year-old boy presented with a large firm left infrascapular mass after a fall from a chair 3 weeks earlier. Ultrasound scanning findings were consistent with intramuscular trauma. Seven days later, with another ultrasound scan, a postero-lateral thoracic mass extending to the posterior neck was shown. Infection or malignancy was suspected, and biopsy of the lesion was considered. However, a radiologist recognized that the history of remote minor back trauma was discordant with persistent swelling and tenderness and reviewed all imaging.

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