Cirsoid aneurysms are rare arteriovenous malformations of the scalp, which are 
usually of congenital etiology. We describe the case of a young Sri Lankan 
farmer who presented with a progressively enlarging scalp mass of interesting 
character, yielding unique images on plain radiography before more advanced 
imaging and subsequent definitive treatment were performed. The utility of this 
simple imaging technique in underdeveloped settings is highlighted, and further 
diagnostic and treatment options are discussed in brief.