Hemangioma

Patient has presented with reddish swelling in left cheek since childhood which is gradually in increasing in size.there is history of raise in temperature at the site. 

EXAMINATION

Inspection:- greyishbrown pappule is present over left cheek in front of tragus extending to angle of mandible.Edges are not clearly made out.No punctum.

Palpation:-size:-21/2x2 inches

 extent:- from lateral canthus of eye to angle of mandible and from tragus to nasolabial fold. 

soft in consistency. 

Investigation:-On doppler ultrasound examination swelling is found to be have increased blood flow.