Isolated forehead swelling

A previously healthy 3-year-old girl presented to the dermatology department with a 3 week history of swelling of the right forehead. The lesion was a non-painful, non-fluctuant, non-pulsating, indurated mass of about 3x3 cm, increased in size over the past two weeks, and with overlying skin eventually turned purple (Figure 1, A). Ultrasound examination revealed a solid hyperechoic subcutaneous lesion with enhanced doppler signal, intact underlying osseous plate, and ipsilateral submandibular and cervical lymphadenopathy.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Rediscovering the Physical Exam Source Type: research