EURORAD ESR

Case 13748

Enhancing vertebrae in brachiocephalic vein obstruction

Author(s)
Catalin V Ivan, Daniel T Barnes, Jan Brozik, Arif M Syed

Glenfield Hospital
Groby Rd, Leicester
LE3 9QP
Email:catalinivan185@gmail.com
 
Patient
male, 72 year(s)
 
 
  • Figure 1
    Case 1 - Mediastinal fibrosis
     

    Axial CECT 1. Anterior chest wall and mediastinal collateral vessels with compression of the mid left brachiocephalic vein (red arrow) 2. Enhancing dilated basivertebral veins mimicking sclerotic lesion (yellow arrow)

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Education; Special Focus: Haemodynamics / Flow dynamics;

    Sagittal CECT: Enhancing dilated basivertebral veins mimicking sclerotic lesion (yellow arrows).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Education; Special Focus: Haemodynamics / Flow dynamics;

    Sagittal non-contrast-enhanced CT confirms the vascular nature of these enhancing lesions. Please note the dilated foramina of the basivertebral veins canal (arrows).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Education; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 2
    Case 2 - Post left upper lobectomy
     

    Axial CECT 1. Subpleural wedge-shaped area of scar tissue in the left upper lung zone, extending retrosternal and compressing the left brachiocephalic vein (yellow arrow) 2. Extensive vertebral collaterals (white...

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Haemodynamics / Flow dynamics;

    Sagittal CECT: Enhancing basivertebral veins (yellow arrow) mimicking vertebral body sclerotic lesions and extensive vertebral venous collaterals (white arrow).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Education; Special Focus: Haemodynamics / Flow dynamics;

    Axial CECT MIP showing left brachiocephalic vein compression (arrow) and extensive vertebral and intercostal venous collaterals.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 3
    Veins of the thoracic wall

    The vertebral plexus pathway uses the brachiocephalic, vertebral, intercostal, lumbar, and sacral veins to collateralise to the azygos and internal thoracic venous pathways.

     
    Area of Interest: Thoracic wall; Imaging Technique: Experimental; Procedure: Education; Special Focus: Haemodynamics / Flow dynamics;
     
     
Axial CECT 1. Anterior chest wall and mediastinal collateral vessels with compression of the mid left brachiocephalic vein (red arrow) 2. Enhancing dilated basivertebral veins mimicking sclerotic lesion (yellow arrow)
 
Sagittal CECT: Enhancing dilated basivertebral veins mimicking sclerotic lesion (yellow arrows).
 
Sagittal non-contrast-enhanced CT confirms the vascular nature of these enhancing lesions. Please note the dilated foramina of the basivertebral veins canal (arrows).
 
Axial CECT 1. Subpleural wedge-shaped area of scar tissue in the left upper lung zone, extending retrosternal and compressing the left brachiocephalic vein (yellow arrow) 2. Extensive vertebral collaterals (white arrow).
 
Sagittal CECT: Enhancing basivertebral veins (yellow arrow) mimicking vertebral body sclerotic lesions and extensive vertebral venous collaterals (white arrow).
 
Axial CECT MIP showing left brachiocephalic vein compression (arrow) and extensive vertebral and intercostal venous collaterals.
 
The vertebral plexus pathway uses the brachiocephalic, vertebral, intercostal, lumbar, and sacral veins to collateralise to the azygos and internal thoracic venous pathways.
 
 
 
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