Hemangiomas are abnormal proliferations of blood vessels, making up 7% of all benign soft tissue tumors. Their true incidence and prevalence are difficult to calculate, as the majority of lesions are small and asymptomatic. These lesions are largely congenital, but approximately 20% can be linked to trauma. They are very rare in paraspinal muscles. The prevalence of tuberculosis and cold abscess is quite high in our clinical setting. we are reporting a rare case report of hemangioma in paraspinal region mimicking as cold abscess. Intramuscular haemangiomas are very rare and paraspinal involvement being even rarer. Though tubercular abscess is common clinical problem, paraspinal Haemangioma should be considered as differential diagnosis.