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CT Spine Hemangiomata

Comparisons: None available.

Technique: Helical CT of the thoracic spine was performed without contrast, acquiring coronal and sagittal reformations.

Findings: There is a well-marginated lytic lesion involving the left T2 pedicle, transverse process, and lamina without cortical destruction or paraspinal soft tissue mass. There are multiple thin, linear internal osseous septations. There is no cortical breakthrough or soft tissue component. The zones of transition are narrow. Collectively, the lytic lesion measures 1.9 x 1.6 cm.

Within the T2 anterior vertebral body, there is an irregular, ovoid lytic osseous lesion that measures 1.1 x 0.6 cm. The lesion extends to the anterior cortex of the T2 vertebral body, but there is no fracture. This lesion corresponds to the ovoid hyperintense finding seen on the prior MRI of the cervical spine.

There is a well-circumscribed lytic focus in right side of the T11 vertebral body that measures 1.6 x 1.1 cm and has internal adipose tissue density and accentuation of the primary trabeculae, which are findings typical of a hemangioma.

There is normal osseous alignment without fracture or subluxation. There is disc height loss and endplate degenerative change involving the fourth through eighth thoracic vertebrae. Limited view of the thorax is unremarkable.

1. Findings compatible with small benign vertebral hemangiomata.
2. No evidence of aggressive or acute lesion.