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Venous vs. Lymphatic
Malformations
Imaging Findings
Venous malformations
enlarge with Valsalva
phleboliths – specific sign
enhance later than veins !  delayed imaging
enhance incompletely (large, intraluminal thrombi)
septated, lobulated
circumscribed or transspatial
adjacent bone remodeling
Venous malformations
best imaging tools
CT more specific, shows phleboliths
MRI better for extension
Lymphatic malformation
T2, STIR hyper
T1 hypo or hyper if high protein, hemorrhage
fluid-fluid levels
no enhancement, unlike venous malformation
faint peripheral enhancement
septated
transspatial
Lymphatic malformation
can associate with venous channels
focal delayed enhancement
phleboliths
 venolymphatic malformation
Cystic hygroma
commonly < 2 years age
lymphatic malformation with extremely dilated
lymphatic channels
posterior neck triangle, submandibular

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Venous vs lymphatic malformations - imaging findings