Case ReportA 37-year-old man had multiple subcutaneous lumps on the torso and all extremities. These first became noticeable after puberty and had slowly increased in size and number over the years. They were variable in size, ranging from several millimeters to several centimeters. The lumps were firm, partially mobile, and smooth on palpation. The larger ones had a bosselated surface. Some were mildly tender on compression. Sonographic assessment of several of the larger lumps was requested before cosmetic surgery. The lumps were imaged with a high-resolution L12-5 linear array transducer on an HDI 5000 machine (Philips Medical Systems, Bothell, WA). These all had a similar appearance on sonography. The lumps were well defined and located in the subcutaneous layer. They had a predominantly hyperechoic appearance, which clearly distinguished them from the adjacent hypoechoic adipose tissue (Figure 1). Small, patchy hypoechoic areas were noted within the larger masses. No posterior acoustic enhancement was seen. The larger masses showed sparse internal vascularity on color Doppler imaging. Excisional biopsy of 16 lumps showed the typical features of angiolipomas, with a mixture of adipocytes and a variable amount of angiomatous tissue.