EURORAD ESR

Case 12976

Aggresive Vertebral Body Haemangioma

Author(s)
Rania Zeitoun, MD, FRCR

Faculty of MEdicine, Cairo University
Email:raniazeitoun@gmail.com, rania.zeitoun@kasralainy.edu.eg
 
Patient
male, 27 year(s)
 
 
  • Figure 1
    MR images, Axial plane
     

    Axial T1: vertebral expansion, cortical destruction, spinal and foraminal compromise, cord compression, hypointense signal and striations

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemangioma;

    Axial T1 post contrast: intense enhancement

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

    Axial T2: hyperintense signal and striations, impression of honeycomb pattern

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemangioma;

    Yellow arrow: showing the spinal cord compressed and displaced by virtue of the vertebral lesion.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemangioma;
     
     
  • Figure 2
    MR T2 images, Sagittal plane
     

    Midline Sagittal plane, T2 image: compression wedge fracture of D7 with posterior cortical bulge. Red Arrow: focal bright T2 signal within the dorsal spinal cord

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemangioma;

    Paramidline Sagittal plane, T2 image: note the bright T2 signal of the vertebral body lesion

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemangioma;

    Paramidline Sagittal plane, T2 image: note the foraminal extension

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemangioma;

    Paramidline Sagittal plane, T2 image: note honeycomb pattern of the lesion being of bright signal with low signal striations and lobulated outline

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemangioma;
     
     
  • Figure 3
    MR T1 pre and post contrast images
     

    Midline Sagittal plane T1 image

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemangioma;

    Midline Sagittal plane T1 post contrast images showing intense enhancement

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemangioma;

    Paramidline Sagittal plane T1 image

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemangioma;

    Paramidline Sagittal plane T1 post contrast images showing intense enhancement and foraminal extension

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemangioma;
     
     
Axial T1: vertebral expansion, cortical destruction, spinal and foraminal compromise, cord compression, hypointense signal and striations
 
Axial T1 post contrast: intense enhancement
 
Axial T2: hyperintense signal and striations, impression of honeycomb pattern
 
Yellow arrow: showing the spinal cord compressed and displaced by virtue of the vertebral lesion.
 
Midline Sagittal plane, T2 image: compression wedge fracture of D7 with posterior cortical bulge. Red Arrow: focal bright T2 signal within the dorsal spinal cord
 
Paramidline Sagittal plane, T2 image: note the bright T2 signal of the vertebral body lesion
 
Paramidline Sagittal plane, T2 image: note the foraminal extension
 
Paramidline Sagittal plane, T2 image: note honeycomb pattern of the lesion being of bright signal with low signal striations and lobulated outline
 
Midline Sagittal plane T1 image
 
Midline Sagittal plane T1 post contrast images showing intense enhancement
 
Paramidline Sagittal plane T1 image
 
Paramidline Sagittal plane T1 post contrast images showing intense enhancement and foraminal extension
 
 
 
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