Multiple symmetrical lipomatosis (Madelung’s disease)✰✰Please cite this article as: Ikumi-Shibasaki I, Ikuo-Shibasaki H, Nakamoto TS, Baccan FS, Raposo LS. Multiple symmetrical lipomatosis (Madelung's disease). Braz J Otorhinolaryngol. 2014;80:90–1

A male patient, 47 years old, white, without comorbidi-ties, alcoholic for 20 years, presented to this unit with a complaint of bulging in the bilateral supraclavicular region, painless, which had been progressively growing for the past five years.At physical examination, he showed good overall status, with bilateral supraclavicular mass of soft consistency, pain -less, measuring 10 × 6 cm to the left and 12 × 8 cm to the right (Fig. 1A). The computed tomography (CT) confirmed the presence of a symmetrical supraclavicular mass, whose density was compatible with fat (Fig. 1C). The mass was sur-gically removed, and the anatomopathological analysis of the specimen evidenced the presence of lipomatosis (Figs. 1D, 1E, 1F). To date, the patient has progressed well with-out recurrence, and outpatient follow-up has been main-tained (Fig. 1B).