Cutaneous haemangiomas over the spine should be studied with ultrasound then MRI with gadolinium (if abnormalities are present on ultrasound) as they can be associated with intraspinal extension and dysraphic lesions6. Paravertebral extension of haemangioma and mediastinal haemangioma are rare but associated with risk of neurological complications. Our case highlights this potential complication and acts as reminder to physicians that imaging is essential in certain cases of infantile haemangioma.