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Case of the Week 317 
What's the most likely diagnosis?
- 46 year old female with back pain
Contrast-enhanced axial CT of lower abdomen
- Aortic dissection
- Fracture of vertebral body
- Hemangioma of spine
- Duplicated collecting system
- Appendicitis
Additional Image - Reconstructed coronal CT of spine
Additional Image
Reconstructed coronal CT of spine
Answer:
3. Hemangioma of the spine
More (Click Discussion Tab)
Hemangioma of the Spine
General Considerations
- Benign
- Most often located in lower thoracic, upper lumbar spine
- Skull is second most common location (spoke-wheel appearance)
- Mostly asymptomatic
- More frequent in females
- Peak incidence in 40’s
- Multiple in up to 1/3 of cases
- Most often occur in the medullary cavity of bone
- Microscopically, there is hamartomatous proliferation of vascular tissue
- Classified as to cavernous, capillary, arteriovenous and venous
- Spine hemangiomas are usually capillary type; skull are cavernous
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A mobile version for your PDA or internet-enabled smartphone with lists of differential diagnoses, most commons and more
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LearningRadiology.com is an award-winning educational site aimed primarily at medical students and radiology residents-in-training, containing lectures, handouts, images, Cases of the Week, archives of case quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, cardiac, and bone radiology.
