Beyond Infantile Hemangiomas: A Glimpse into Overlapping Rare Syndromes Emphasizing the Vigilant Screening for PHACE and LUMBAR Syndromes

Figure 4

(a) Avidly enhancing rounded structure with intermediate T2 signal and mild restricted diffusion seen in the retroperitoneum between the aorta and SMA, and inferomedial to the expected position of the pancreatic head, anterior to the IVC vein measuring approximately 2.6 cm AP × 2.5 cm transverse × 2.6 cm. (b) Ill-defined enhancing structure, with marked T2 hyperintensity and no restricted diffusion in the left adrenal region measuring approximately 1.5 × 2.3 by 2.3 cm, abutting the left renal upper pole, without a definite fat plain between them. (c) Left paraspinal mass (grossly at the level of T8–T10) with enhancement, high T2 signal, and mild restricted diffusion approximately 6 mm AP × 2.1 cm TR × 2 cm long. There is mild extension to the left T7-T8 neural foramen without appreciable expansion.

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