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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Bibliographic Details
Main Authors: Fukamizu,Erina Megumi Nagaya, Seabra,Adriano, Otto,Deborah Yukiko, Sawamura,Marcio Valente Yamada, Bordalo-Rodrigues,Marcelo, Helito,Paulo Victor Partezani
Format: Digital revista
Language:English
Published: Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842021000500336
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