An 8-week-old girl presented with the chief complaint of a rapidly enlarging soft tissue mass located in the right shoulder/upper arm region. According to the parents, the mass was present at birth. Initially, this was thought to be a hematoma and observation was recommended. From the day of discharge (2 days postpartum) to presentation in clinic (at 8 weeks), the mass had enlarged rapidly, out of proportion relative to the child’s growth (Figs. 1, 2).
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