DOI: https://doi.org/10.36347/sasjm.2026.v12i06.003

Pages: 592-594

We report the case of a 2-year-old girl who presented with a subcutaneous mass in the right lumbar fossa. MRI revealed a well-circumscribed lesion with heterogeneous intermediate T2 signal intensity, peripheral enhancement after gadolinium injection, and diffusion restriction initially suggestive of an epidermoid cyst. Histological analysis confirmed an embryonal rhabdomyosarcoma. This case highlights the diagnostic challenge of soft tissue masses in children and the importance of correlating clinical, radiologic, and histologic data, especially when imaging findings appear deceptively benign.