Approach to head and neck masses (pediatrics) Quiz: Ace Your Exams
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A 6-week-old girl is brought to the pediatric clinic for evaluation of a skin lesion on the left cheek. The parent reports that the area appeared slightly discolored at birth and has grown rapidly over the past month. The lesion does not seem to cause discomfort, and the infant feeds and sleeps normally. There is no history of trauma, fever, or recent illness. The infant was born full term via spontaneous vaginal delivery without complications. Immunizations are up-to-date. On examination, the infant is alert and well-appearing. A 3 cm soft, compressible, raised reddish-blue lesion is noted on the left cheek. The overlying skin is intact and warm to the touch. There is no surrounding erythema or tenderness. The remainder of the physical examination is normal. Which of the following additional findings is most likely to be present on physical examination?
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