We present a case of histologically-verified central cavernous haemang
ioma. The conventional radiological films as well as the computed tomo
graphic (CT) and magnetic resonance imaging (MRI) features of this les
ion are described. Plain films showed many of the typical radiological
signs of haemangioma, whereas CT was primarily useful for illustratin
g the bony components of the tumour as well as delineating soft tissue
extensions and bony defects not normally visible with plain film exam
ination. MRI proved particularly useful, demonstrating the vascular na
ture and flow voids representative of feeder vessels and delineating t
he true extent of the lesion. The literature pertaining to the imaging
features of central haemangioma is reviewed and the complementary use
of plain films, CT and MRI described. To our knowledge, this is the f
irst report detailing the MRI characteristics of a central mandibular
haemangioma.