Mycetoma, also known as Madura foot, is a rare soft tissue granulomatous infection caused by Actinomyces or true fungi. The MRI “dot-in-circle” sign has been described as a characteristic finding of mycetoma. This sign represents spherical T2 bright masses containing central and intervening low signal intensity foci. However, other soft tissue masses can have similar appearances. We present a case of a Madura foot that due to the presence of serpiginous enhancing masses with the “dot-in-circle” sign believed to be due to phelboliths, was given the imaging diagnosis of soft tissue hemangioma.