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Case#4 History:
Young male with a small bluish skin discoloration
and pain in the elbow.
Imaging Studies:
-
MRI (see below, 1st image)) : T2 weighted axial image shows
a typical venous malformation (low-flow vascular birthmark)
located superficially just under the skin. The underlying
muscle groups appear normal.
- Direct contrast
injection into the malformation (see below, 2nd image)
outlines the small venous anomaly and also
demonstrates venous drainage pathways of the lesion.

Diagnosis:
VM
Treatment:
This lesion can be treated surgically or by
percutaneous means (Sclerotherapy).
Sclerotherapy was selected in this case and a tiny
amount of sclerosant agent was used (see below,
post-sclerotherapy image). Good results and no complication.
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