Epithelioid sarcoma of the scalp as a primary site of origin is a rare occurrence a and has a broad differential diagnosis. The radiological features for each of the differential diagnoses are similar but sometimes can be very unique. The present case study provides relevance and significance in considering the possibility of primary epithelioid sarcoma while examining benign lumps with no skin ulceration or pain. The case report focuses on imaging features of epithelioid sarcoma while employing to describe the lesion using multimodality imaging in addition to Computer Tomography, early intervention in the form of complete excision of these tumours through surgery and primary repair when required. Adequate adjuvant treatment is needed following the excision, with the goal of preventing recurrences.