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Bambi Blaze Breasts: The Biggest Boob Expansion Ever!. August 13,.CLINICAL PRESENTATION {#sec1-1}
=====================

A 4-year-old girl presented with left-sided abdominal pain of 1 month’s duration. The pain was sharp in onset, radiating from the abdomen to the left thigh. There was no history of pain in the same location in the past. The pain was more prominent on coughing and straining, and relieved by defecation. There was no history of trauma, fever, and vomiting. There was no other associated symptom or sign.

The rest of the systemic examination was normal. Laboratory parameters showed mild leukocytosis, raised erythrocyte sedimentation rate, and raised C-reactive protein level. Urinalysis was normal.

Imaging workup of the abdomen was done, which revealed the presence of a soft-tissue mass in the left hypochondrium extending into the anterior abdominal wall \[Figures [1](#F1){ref-type=”fig”} and [2](#F2){ref-type=”fig”}\]. A provisional diagnosis of abdominal wall abscess was made. A provisional diagnosis of a cystic liver lesion was also considered. A MRI of the abdomen was then done. It showed a cystic lesion in the left hypochondrium with mild thickening of adjacent rectus abdominis muscle, suggestive of an abscess or cystic lesion \[[Figure 3](#F3){ref-type=”fig”}\].

![Axial image of the abdomen showing mild thickening of the rectus abdominis muscle](JIAPS-19-192-g001){#F1}

![Coronal image of the abdomen showing the mass in the left hypochondrium extending into the anterior abdominal wall](JIAPS-19-192-g002){#F2}

![MRI image of the abdomen showing a cystic lesion in the left hypochondrium with mild thickening of the adjacent rectus abdominis muscle](JIAPS-19-192-g003){#F3}

QUESTIONS {#sec1-2}
=========

What is the diagnosis?What are the differentials
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