T1, T2, and STIR MRI images of a<unk>  CT On computed tomography (CT) or radiograph, VHs can cause rarefaction with vertical striations (often referred to as corduroy pattern) or a coarse honeycomb appearance. A polka-dot appearance on CT scan represents a cross-section of reinforced trabeculae. CT best defines the bony architecture and is the best diagnostic imaging method. MRI Baudrez, Galant, and VandeBerg found that MRI appearance is dictated by histology of the tumor-like lesion—Vascularity, interstitial edema, and interspersed fat. The presence of high or moderate signal intensity on both T1 and T2 images is related to the ration of fat to vessels and edema. For example, a VH with a high concentration of fat and a relatively low make-up of vessels and edema would show a high signal intensity on T1-weighted spin-echo images and intermediate signal intensity on T2-weighted fast spin echo images. Whereas a VH made-up of nearly equal portion of fat and vessels and edema would show intermediate signal intensity on T1-weighted images and high signal intensity on T2-weighted images. Differential diagnosis The differential diagnosis for lesions with similar radiologic appearance to VH includes but is not limited to hemangioblastoma, lymphangioma, bone metastasis, Ewing Sarcoma, and spinal dural arteriovenous fistula.
Vertebral hemangioma
Vertebral osteomyelitis
Epidural abscess
Spinal disc herniation
Spinal tumor
Spinal epidural hematoma
Spinal stenosis
Discitis