The sonographic and CT findings of fibromatosis colli (sternomastoid t
umor of infancy) have been described, but the MRI appearance has been
reported in only one case in which the mass resolved over time. This c
ase describes the detailed MRI findings in a biopsy-proven case of fib
romatosis colli; the signal intensity of the mass on T2-weighted image
s was slightly less than on gradient-recalled T1-weighted images, cons
istent with the presence of some fibrous tissue within the muscle mass
. The involved portion of the muscle was better defined on MRI than so
nography. MRI was helpful in demonstrating the signal characteristics
of the mass; localizing the mass to within the sternocleidomastoid mus
cle; and demonstrating clear surrounding fascial planes with lack of a
ssociated lymphadenopathy, airway compression, vascular encasement, bo
ne involvement or intracranial/intraspinal extension associated with o
ther neck masses.