EURORAD ESR

Case 10687

Intraosseous venous drainage anomaly in a patient with pretibial varices

Author(s)
Revelli M1, Piccazzo R1, Astengo D1, Cevasco L1, Paparo F2, Bacigalupo L2

1 University of Genova – School of Radiology
2 E.O. Ospedali Galliera – Genova
 
Patient
male, 40 year(s)
 
 
  • Figure 1
    Plain radiographs
     

    Anteroposterior plain radiograph of the leg showing a focal area of osteolysis in the anterior tibial cortex (arrow) and a longitudinal vascular groove in the proximal tibial diaphysis (arrowheads).

     
    Area of Interest: Cardiovascular system; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Haemodynamics / Flow dynamics;

    Lateral plain radiograph of the leg confirming the presence of the focal osteolytic lesion in the anterior tibial cortex (arrow) and of the longitudinal vascular groove in the proximal tibial diaphysis (arrowheads).

     
    Area of Interest: Cardiovascular system; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 2
    US and Colour-Doppler
     

    Long axis ultrasound image of the leg showing a discontinuity in the anterior cortex of tibial diaphysis.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Haemodynamics / Flow dynamics;

    Colour-Doppler ultrasound image of the tibial diaphysis showing venous blood flow in a pretibial vessel extending posteriorly through the anterior tibial cortex.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 3
    Magnetic Resonance
     

    Axial T1-weighted MR image of the leg, showing a prominent nutrient vascular canal (arrow).

     
    Area of Interest: Cardiovascular system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemodynamics / Flow dynamics;

    Axial T2-weighted MR image with fat saturation of the leg showing an enlarged intraosseous vein (arrow) in the tibial diaphysis.

     
    Area of Interest: Cardiovascular system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemodynamics / Flow dynamics;

    Sagittal oblique T2-weighted MR image with fat saturation of the leg confirming the presence and the course of an enlarged intraosseous vein (arrow).

     
    Area of Interest: Cardiovascular system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemodynamics / Flow dynamics;
     
     
Anteroposterior plain radiograph of the leg showing a focal area of osteolysis in the anterior tibial cortex (arrow) and a longitudinal vascular groove in the proximal tibial diaphysis (arrowheads).
 
Lateral plain radiograph of the leg confirming the presence of the focal osteolytic lesion in the anterior tibial cortex (arrow) and of the longitudinal vascular groove in the proximal tibial diaphysis (arrowheads).
 
Long axis ultrasound image of the leg showing a discontinuity in the anterior cortex of tibial diaphysis.
 
Colour-Doppler ultrasound image of the tibial diaphysis showing venous blood flow in a pretibial vessel extending posteriorly through the anterior tibial cortex.
 
Axial T1-weighted MR image of the leg, showing a prominent nutrient vascular canal (arrow).
 
Axial T2-weighted MR image with fat saturation of the leg showing an enlarged intraosseous vein (arrow) in the tibial diaphysis.
 
Sagittal oblique T2-weighted MR image with fat saturation of the leg confirming the presence and the course of an enlarged intraosseous vein (arrow).
 
 
 
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