CTICasesInvasive Vertebral Hemangioma with Epidural Extension
Imaging findings
MRI and CT of the thoracic spine show a hypervascular lesion within a vertebral body that preserves the characteristic vertical striated "corduroy" trabecular pattern but extends posteriorly beyond the vertebral body margin to impinge on the spinal canal and cord, with typical T2-hyperintense signal on MRI.
Key takeaways
A hypervascular vertebral lesion with the classic corduroy trabecular pattern but epidural extension and cord impingement represents an invasive vertebral hemangioma -- a benign tumor that can behave aggressively and mimic a more malignant process -- and should be included in the differential for a hypervascular spinal lesion even without a known cancer history.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Superior Accessory FissureCongenital
- Incidentally Discovered Small ThymomaNeoplastic
- Disseminated Coccidioidomycosis with CNS Vasculitis and Necrotizing Lung DestructionInfection
- Cavitary Cryptococcal Pneumonia in Autoimmune Hepatitis with CirrhosisInfection
- Type 1 Truncus Arteriosus with Right Aortic ArchCongenital
- Unicuspid Aortic Valve with Mixed Stenosis and RegurgitationCongenital
- Recall Radiation Pneumonitis in a Previously Irradiated Breast FieldILD
- Gemcitabine-Induced Organizing Pneumonia in a Prior Radiation FieldILD
See all cases from July 12, 2018 →
Related Neoplastic cases
- Primary Mediastinal Germ Cell Tumor (Seminoma)
- Sarcomatoid Mesothelioma with Rapidly Progressive Calcification
- Sarcomatoid Mesothelioma with Osteoid Differentiation
- Post-Transplant Lymphoproliferative Disorder (PTLD) Mimicking Peritoneal Carcinomatosis
- Endovascular Small Cell Lung Cancer Mimicking an Infectious/Inflammatory Nodule
- Aggressive Vertebral Hemangioma