Atypical Cavernous Hemangioma of the Breast Associated with Multiple Soft Tissue Phleboliths

Vascular tumors of the breast are rare but potentially diagnostically challenging entities. The majority are angiosarcomas and hemangiomas. Most symptomatic intraparenchymal vascular tumors prove to be angiosarcomas. Hemangiomas are well-defined benign tumors without specific radiological findings. They are usually located superficially and identified incidentally. In this report, we describe a case of a menopausal woman with an atypical cavernous hemangioma of the left breast which was highly suggestive of malignancy (BIRADS category 5) studied with mammography, ultrasound, and computed tomography (CT). Breast hemangioma was associated with multiple soft tissue phleboliths including ipsilateral neck, axilla, shoulder, chest wall, and proximal upper extremity and a few phleboliths on the the right side of the neck.