 A very good afternoon to one and all, I am Dr. Rankitha Pandey, junior resident, Department of Radio Diagnosis, JNMCHEMU and I am presenting a case on glomus tumor of ring finger. A 37 year female came to our department and she was having complaint of pain and tenderness in left ring finger tip. She was also complaining of small swelling and over that small swelling she was having tenderness. Her ultrasound and colored operated imaging were done. On ultrasound we saw a small heteroequic lesion measuring near about 4 into 3 mm in dimensions and the lesion was located in between the nail bit and the distal phallings at the dorsal aspect in the ring finger of left hand. And on color Doppler the lesion was showing significant vascularity. So possibility of glomus tumor was kept contrast enhanced MRI was advised for further evaluation. Her MRI was done and on T1 weighted imaging we saw that the lesion was appearing hypo intense. It was located near distal phallings at the dorsal aspect of the fourth digit and on exel sections we saw that the lesion was in between the nail bit and the distal phallings. On PD sequence we saw that the lesion was appearing hyper intense. On exel imaging it was clear that the lesion was located in between the nail bit and the distal phallings. It was extending, the lesion was also extending literally into the palmar aspect and contrast was given and on contrast in enhanced imaging we saw that the lesion was appearing was evidently enhancing. It was homogenously evidently enhancing hyper intense lesion on T2 weighted imaging and this the lesion was extending into the palmar aspect and causing mild scalloping of the distal phallings of the fourth digit. It was no evidence of any bone erosion and rest of the visualized bones and soft tissues were normal. Her biopsy was done later on and on biopsy branching muscular channels and aggregates of specialized glomus cells were seen. So it was a confirmed case of glomus tumor. Glomus tumors are also known as glomancia omas. These are benign vascular tumors typically seen at the distal extremities. On imaging they characteristicly present as small hyper vascular nodules under the finger nail. They should not be confused with Paragangliomas which are sometimes also referred as glomus tumors but they are different. The glomus tumors that present in distal extremities they classically present in young to middle aged in 4 to 5th decade and they are mainly seen in females. They are multiple very rarely mostly they are unilateral. Glomus tumors they account for 1 to 5% of the soft tissue tumors in the hand. The patient present with small firm red blue nodule under the finger nail and he or she is having exquisitely it is exquisitely painful and it is very sensitive to cold temperature and touch. Sometimes the pain is worse at night it may disappear when the tonic weight is applied as the applying the tonic weight the vascularity decreases so it may decrease the pain of the patient may may also present with ham reach under the nail. There is a sign known as hill red sign and this is the pain relief following the application of tonic weight proximally and this sign presence of this sign is considered pathognomic on clinical grounds. These tumors they originate from the neuromaeo arterial plexus modified smooth muscle cells of the glomus body and they are thought to be as hamartomas rather than true tumors. There are two main components on microscopy branching vascular channels and aggregates of specialized glomus cells these two main components are seen and these tumors are located approximately located 75% of cases we see in hands predominantly sub angle in position. On plane radiograph we see the tumor it is very difficult to see the tumor but we can see any subtle soft tissue density swelling. On plane radiograph we may also see some marginated oscious erosion or thinning of the adjacent cortical bone. On ultrasound we can see sub angle hypoechoic nodular lesion at the region of maximum tenderness. On Doppler interrogation the lesion will have intense vascularity. On MRI on T1 weighted it will be low to intermediate signal and on T1 contrast imaging it will show evad contrast enhancement due to high vascularity and on T2 weighted it will show intense high signal. So this is a plane x-ray and in plane x-ray we saw a mild scalloping noted at the dorsum of distal cellings however we are not appreciating any soft tissue swelling the only thing we can see here is mild scalloping of dorsum of distal cellings. On MRI this is a T1 weighted imaging and on this we see the lesion is appearing hypo intense. Only minimal soft focal soft tissue thickening at the dorsum of distal cellings of the index finger is seen and on T2 weighted and PD sequences the lesion is appearing hyper intense. The treatment of such lesion is surgical we surgically reject the tumour. The differential diagnosis of glomus tumours include hemengeomas, epidermal inclusion cysts, angiomyomas, tino-synovial giant cell tumour and these are references from where I have taken the data.