case_images: PMC3703684_01
case_images: An arterio venous malformation present on the left palm and thumb diagnosed as arterio-venous malformation on ultrasonography
case_images: CCD-4-119-g001.jpg
case_images: PMC3703684_01_CCD-4-119-g001.jpg
case_images: F1
case_images: Her left palm and left thumb showed presence of lobulated nodules [Figure 1].
case_images: Multiple papules (trichilemmomas) on the bridge of the nose
case_images: CCD-4-119-g002.jpg
case_images: PMC3703684_01_CCD-4-119-g002.jpg
case_images: F2
case_images: Extra-oral examination revealed presence of multiple skin colored flat papules (trichilemmomas) on her face involving the bridge of the nose, forehead region and on the upper lip measuring around 1-5 mm in diameter [Figure 2].
case_images: Cluster of papules on the lower lip
case_images: CCD-4-119-g003.jpg
case_images: PMC3703684_01_CCD-4-119-g003.jpg
case_images: F3
case_images: Lower lip also showed multiple non-tender papular growths around 1-3mm in diameter, clustered at certain places [Figure 3].
case_images: Papillomatous lesions on the dorsal surface of tongue
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case_images: PMC3703684_01_CCD-4-119-g004.jpg
case_images: F4
case_images: Intra oral examination revealed smooth whitish papillomatous lesions involving the dorsal surface of the tongue and the buccal mucosa measuring 1-5 mm in diameter [Figures 4 and 5].
case_images: Papules seen on the buccal mucosa
case_images: CCD-4-119-g005.jpg
case_images: PMC3703684_01_CCD-4-119-g005.jpg
case_images: F5
case_images: Intra oral examination revealed smooth whitish papillomatous lesions involving the dorsal surface of the tongue and the buccal mucosa measuring 1-5 mm in diameter [Figures 4 and 5].
case_images: Ultrasonography with color Doppler showing multiple nodules in the lobes of the thyroid
case_images: CCD-4-119-g006.jpg
case_images: PMC3703684_01_CCD-4-119-g006.jpg
case_images: F6
case_images: Few cysts were also seen within the thyroid with internal finger like solid projections showing increased vascularity (intracystic papillary mass) which gave the impression of multinodular goiter [Figure 6].
case_images: Ultrasonography showing oval hypoechoic areas in the breast with smaller adjacent similar areas suggestive of multiple fibroadenomas
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case_images: PMC3703684_01_CCD-4-119-g007.jpg
case_images: F7
case_images: Ultrasonography examination of breast showed multiple nodular cystic areas bilaterally suggestive of fibroadenomas which were confirmed by FNAC and miscroscopy while a cystic area with nodular solid component eccentrically originating from the walls occupying more than 50% of the cystic lumen was seen at a single area in the left breast which was suggestive of intracystic complex mass [Figure 7a and b]. Ultrasonography of the left palm showed 12 mm x 9 mm sized mildly hypoechoic lobulated nodule with internal arterial and venous vascular channels suggestive of arterio-venous malformation.
case_images: Ultrasonography showing cystic area with nodular solid component in the left breast suggestive of an intracystic mass
case_images: CCD-4-119-g008.jpg
case_images: PMC3703684_01_CCD-4-119-g008.jpg
case_images: F8
case_images: These were randomly distributed throughout the stomach and duodenum, mostly measuring less than 1 cm in diameter [Figure 8].
case_images: Multiple polypoid lesions having smooth overlying mucosa seen randomly distributed throughout the stomach and duodenum on upper GI endoscopy
case_images: CCD-4-119-g009.jpg
case_images: PMC3703684_01_CCD-4-119-g009.jpg
case_images: F9