Vanishing bone metastasis: pictorial essay

Abstract Vanishing bone metastasis (pseudopathological vertebral body enhancement) is a pitfall in the interpretation of contrast-enhanced computed tomography (CT) scans of patients with thoracic vein obstruction, mainly in the superior vena cava and brachiocephalic veins, typically being related to thrombosis due to malignant tumors. On the basis of the CT findings, pseudopathological vertebral body enhancement can be misdiagnosed as sclerotic bone metastasis, leading to unnecessary treatment. Although not rare, pseudopathological vertebral body enhancement is usually underdiagnosed by radiologists. The aim of this study is to review the pathophysiology of this phenomenon, illustrating the most common collateral venous pathways in thoracic vein obstruction and making the correlation with the CT findings.

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Pseudopathologic vertebral body enhancement in the presence of superior vena cava obstruction on computed tomography

The Spine Journal ◽

10.1016/j.spinee.2013.07.440 ◽

2015 ◽

Vol 15 (6) ◽

pp. 1295-1301 ◽

Cited By ~ 11

Author(s):

Yoon Kyung Kim ◽

Yon Mi Sung ◽

Kyung Hoon Hwang ◽

Eun Kyung Cho ◽

Hye-Young Choi

Keyword(s):

Computed Tomography ◽

Superior Vena Cava ◽

Vertebral Body ◽

Superior Vena ◽

Vena Cava ◽

Superior Vena Cava Obstruction ◽

Body Enhancement

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Contrast-enhanced fluorodeoxyglucose positron emission tomography/contrast-enhanced computed tomography in mediastinal T-cell lymphoma with superior vena cava syndrome

Indian Journal of Nuclear Medicine ◽

10.4103/0972-3919.172374 ◽

2016 ◽

Vol 31 (1) ◽

pp. 79

Author(s):

Sampath Santhosh ◽

Arun KumarReddy Gorla ◽

Anish Bhattacharya ◽

SubhashChander Varma ◽

BhagwantRai Mittal

Keyword(s):

Superior Vena Cava Syndrome ◽

Cell Lymphoma ◽

Superior Vena ◽

Vena Cava ◽

Emission Tomography ◽

Positron Emission ◽

Contrast Enhanced ◽

Vena Cava Syndrome ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

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The left brachiocephalic vein ‘spur’: A cadaveric and contrast computed tomography study

Phlebology The Journal of Venous Disease ◽

10.1177/0268355519836565 ◽

2019 ◽

Vol 34 (10) ◽

pp. 690-697

Author(s):

Hiroki Mitsuoka ◽

Munekazu Naito ◽

Yusuke Ohmichi ◽

Makiyo Hagihara ◽

Kanae Umemoto ◽

...

Keyword(s):

Computed Tomography ◽

Superior Vena ◽

Vena Cava ◽

Cadaveric Study ◽

Brachiocephalic Vein ◽

Left Brachiocephalic Vein ◽

Computed Tomography Images ◽

Contrast Enhanced ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

Objectives This study investigated the presence of the ‘spur’ which separates the lumen in the left brachiocephalic vein (LBV). Method We macroscopically observed the lumen of the bilateral brachiocephalic veins and the superior vena cava in 56 cadavers. The samples were treated with haematoxylin and eosin staining and immunostaining using an α-smooth muscle action antibody. Contrast-enhanced computed tomography images from 170 subjects were analysed. Results The septal structure was found in only 7% of LBVs included in the cadaveric study and 1.2% of LBVs included in the contrast-enhanced computed tomography image analysis. In the cadaveric study, the septal structure was identified as a ‘spur’ using histopathology. In both studies, a non-septal structure was found in the right brachiocephalic vein. Conclusions This is the first report indicating the existence of an LBV ‘spur’.

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A Giant Coronary Sinus Aneurysm with Secondary Vena Cava Aneurysms

The Heart Surgery Forum ◽

10.1532/hsf.1354 ◽

2016 ◽

Vol 19 (1) ◽

pp. 028

Author(s):

Shengjun Wu ◽

Peng Teng ◽

Yiming Ni ◽

Renyuan Li

Keyword(s):

Computed Tomography ◽

Heart Transplantation ◽

Coronary Sinus ◽

Unusual Case ◽

Superior Vena ◽

Vena Cava ◽

Final Diagnosis ◽

Rare Entity ◽

First Case ◽

Enhanced Computed Tomography

Coronary sinus aneurysm (CSA) is an extremely rare entity. Herein, we present an unusual case of an 18-year-old symptomatic female patient with a giant CSA. Secondary vena cava aneurysms were also manifested. The final diagnosis was confirmed by enhanced computed tomography (CT) and cardiac catheterization. As far as we know, it is the first case that such a giant CSA coexists with secondary vena cava aneurysms. Considering the complexity of postoperative reconstruction, we believe that heart transplantation may be the optimal way for treatment. The patient received anticoagulant due to the superior vena cava (SVC) thrombosis while waiting for a donor.

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Abdominal case of the day. Focal liver enhancement on contrast-enhanced CT scan caused by obstruction of the superior vena cava (SVC).

American Journal of Roentgenology ◽

10.2214/ajr.169.1.9207535 ◽

1997 ◽

Vol 169 (1) ◽

pp. 250-250 ◽

Cited By ~ 2

Author(s):

T E Herbener ◽

V Basile ◽

D Nakamoto ◽

H E Butler ◽

S P Pickering

Keyword(s):

Ct Scan ◽

Superior Vena Cava ◽

Superior Vena ◽

Vena Cava ◽

Contrast Enhanced Ct ◽

Contrast Enhanced ◽

Enhanced Ct

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Pulmonary Embolism Originating from a Hepatic Hydatid Cyst Ruptured into the Inferior Vena Cava: CT and MRI Findings

Case Reports in Radiology ◽

10.1155/2016/3589812 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Necdet Poyraz ◽

Soner Demirbaş ◽

Celalettin Korkmaz ◽

Kürşat Uzun

Keyword(s):

Pulmonary Embolism ◽

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

Liver Cyst ◽

Mri Findings ◽

Contrast Enhanced ◽

Magnetic Resonance Imaging Mri ◽

Enhanced Computed Tomography ◽

Ct And Mri

Pulmonary embolism due to hydatid cysts is a very rare clinical entity. Hydatid pulmonary embolism can be distinguished from other causes of pulmonary embolism with contrast-enhanced computed tomography (CECT) and magnetic resonance imaging (MRI). MRI especially displays the cystic nature of lesions better than CECT. Here we report a 45-year-old male patient with the pulmonary embolism due to ruptured hydatid liver cyst into the inferior vena cava.

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