In children these heel nodules are not common, but there is a localized, usually bilateral, painless, non- itching and symmetric round lesions that occur on the posteromedial part of the foot they are the clinical features of benign plantar nodules of the heel in children. They are usually asymptomatic and benign and are probably congenital. To diagnosed this type of lump without the need for biopsy or any surgical procedures to distinguish fatty tissues from another type of lumps an ultrasound examination of then is enough. Further research studies should aim at showing piezogenic, hamartomatous or congenital fat herniation aetiology of these typical lumps is just a normal variant. They are of concern to parents when there is no need to be.