Cardiac
GI
Bone
GU
Neuro
Peds
Faculty
Student
Quizzes
Image DDX
Museum
Mobile
  Misc
Videocasts
Signs
Twitter

 

 

Learning
Radiology:
Recognizing
the Basics
Available
on the Kindle
and IPad

LearningRadiology Imaging Signs
on Twitter

  

Follow us on

Subscribe to
Our YouTube
Official Channel

Case of the Week 587



What is the most likely diagnosis?

  • 67 year-old complaining of low back pain



Close-up of Lower Lumbar Spine
Lateral Radiograph

  1. Paget Disease
  2. Renal Osteodystrophy
  3. Hemangioma
  4. Metastases
  5. Multiple Myeloma

Additional image - Axial CT of Spine

 

 

Additional Images

 


Axial CT of Spine


Answer:

 

3. Hemangioma

 

More (Click Discussion Tab)

 

 

Hemangioma

 

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


MORE . . .

 


.

This Week
67 year-old complaining of low back pain
 
 
Some of the fundamentals of interpreting chest images
 
The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology
 
Recognizing normal and  key abnormal intestinal gas patterns, free air and abdominal calcifications
 
Recognizing the parameters that define a good chest x-ray; avoiding common pitfalls
 
How to recognize the most common arthritides




LearningRadiology
Named Magazine's
"25 Most Influential"

See Article on LearningRadiology
in August, 2010
RSNA News

LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.