Neurovascular Lipomatous Hamartoma in scapular region

Hamartoma is defined as non-neoplastic malformation characterized by proliferation of mature cells and tissues indigenous to the affected part. Excess of one or more tissues in a disorganized manner can occur. Usually hamartomas are present at birth or in young age but also reported in later ages of life. Hence diagnosis of hematomas cannot be made on the age factor. No diagnostic criteria have been laid down for Neurovascular Hamartoma (NVH). NVH contain small to medium sized vessels and closely packed groups of well-formed nerve bundles in loose connective tissue matrix. NMH are rare intra-neural hamartomas having admixture of mature neural elements, mature skeletal elements and no cellular atypia. We report a case of 25-year-old male patient with swelling in left scapular region since 12 years. On imaging, it was diagnosed as neurovascular lipomatous hamartoma due to admixture of neural elements, fat and vessels.