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venolymphatic malformation develops from improper venous and lymphatic system development. It is a specific kind of vascular abnormality that affects lymphatic and veins, causing abnormal growth and dilation of these vessels. These types of malformations do not directly connect to the main channels but instead appear as swelling or other characteristic features depending on the specific type of malformation. Diagnosis Magnetic resonance imaging (MRI) and ultrasound were used for evaluation. a 11-month-old male who presented with pain and swelling,discomfort in the over the right scapulaand over the hand since birth.pt has been undergoing sclerotherapy and showing 70% improvement. Treatment Surgical removal is the treatment of choice for most cases, but other options such as sclerotherapy, laser therapy, or a combination of these may be considered. Embolization can also be used as a minimally invasive surgical procedure in some cases.