EURORAD ESR

Case 10956

Dilatation of basivertebral veins mimicking osteoblastic lesions on contrast enhanced CT.

Author(s)
Bagetakos I, Syrogiannopoulou A

Department of Radiology,
Hôpitaux Universitaires de Genève,
Geneva, Switzerland;
Email: Ilias.Bagetakos@hcuge.ch
 
Patient
male, 56 year(s)
 
 
  • Figure 1
    Contrast enhanced CT
     

    Sagittal contrast enhanced CT image shows sclerotic lesions at the posterior part of the vertebral bodies T2 to T7 (arrows).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Artefact;

    Axial contrast enhanced CT image shows a sclerotic lesion at the posterior part of T5 (arrow).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Artefact;

    Axial contrast enhanced CT image shows a sclerotic lesion at the posterior part of T3 (arrow).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Artefact;
     
     
  • Figure 2
    Axial contrast enhanced CT image with MIP reconstruction

    Axial contrast enhanced CT image with MIP reconstruction shows left brachiocephalic vein stenosis (blue arrow) with collateral vessels of the left chest wall (yellow arrows).

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 3
    MRI
     

    Sagittal T1-weighted MRI sequence shows no evidence of low signal lesions of T2, T3, T4 vertebra and a vertebral haemangioma of T1.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Artefact;

    Sagittal T1-weigthed MRI sequence shows no evidence of low signal lesions of T3, T4, T5 and T7 vertebra and a vertebral haemangioma of T6 and T10.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Artefact;

    Sagittal STIR MRI sequence shows no lesions of T2, T3, T4; haemangioma of T1 vertebra.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Artefact;

    Sagittal STIR MRI sequence shows no lesions of T3, T4, T5 and T7; haemangioma of T10.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Artefact;
     
     
  • Figure 4
    Sagittal contrast enhanced CT

    Cervical sagittal contrast enhanced CT effectuated a few days after the initial thoraco-abdominal contrast enhanced CT, shows no evidence of sclerotic vertebral lesions because of the absence of contrast in the...

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Artefact;
     
     
Sagittal contrast enhanced CT image shows sclerotic lesions at the posterior part of the vertebral bodies T2 to T7 (arrows).
 
Axial contrast enhanced CT image shows a sclerotic lesion at the posterior part of T5 (arrow).
 
Axial contrast enhanced CT image shows a sclerotic lesion at the posterior part of T3 (arrow).
 
Axial contrast enhanced CT image with MIP reconstruction shows left brachiocephalic vein stenosis (blue arrow) with collateral vessels of the left chest wall (yellow arrows).
 
Sagittal T1-weighted MRI sequence shows no evidence of low signal lesions of T2, T3, T4 vertebra and a vertebral haemangioma of T1.
 
Sagittal T1-weigthed MRI sequence shows no evidence of low signal lesions of T3, T4, T5 and T7 vertebra and a vertebral haemangioma of T6 and T10.
 
Sagittal STIR MRI sequence shows no lesions of T2, T3, T4; haemangioma of T1 vertebra.
 
Sagittal STIR MRI sequence shows no lesions of T3, T4, T5 and T7; haemangioma of T10.
 
Cervical sagittal contrast enhanced CT effectuated a few days after the initial thoraco-abdominal contrast enhanced CT, shows no evidence of sclerotic vertebral lesions because of the absence of contrast in the basivertebral veins.
 
 
 
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