Evaluate for developmental anomaly underlying lipoma of the midline forehead associated with overlapping capillary malformations. There is a subcentimeter fat-signal lesion in the midline of the frontal scalp. There is no evidence of intracranial extension. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits are unremarkable.
A subcentimeter lipomatous lesion in the midline of the frontal scalp, without evidence of intracranial extension or intracranial anomalies, is compatible with a lipoma. 