Venous congestion from brachiocephalic vein stenosis mimicking sclerotic vertebral lesions

Author: Nazimah Ab Mumin ¹ ; Raja Rizal Raja Aman ² ; Wai Yee Chan ²
Author Information

1. Radiology Department, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia
2. Biomedical Imaging Department, Universiti Malaya Medical Centre, Faculty of Medicine, Kuala Lumpur, Malaysia
Publication Type:Case Reports
From: The Medical Journal of Malaysia 2019;74(3):240-242
CountryMalaysia
Language:English
Abstract: In central venous obstruction, vertebral marrow enhancement (VME) may be seen secondary to collateral venous flow via the vertebral venous plexus. 1 There are only sporadic case reports on pseudolesions due to collateral enhancement mimicking sclerotic osseous metastasis. This abnormal vertebral enhancement may lead to erroneous diagnosis of sclerotic metastases or suspicious bone lesion which affect the management and prognosis. We describe a case of brachiocephalic vein obstruction-related vertebral body pseudolesions as identified in contrast-enhanced computed tomography (CECT) scan
Full text:6.2019.my14281.pdf