Vertebral sclerotic lesions

The radiographic appearance and location are typical. The signal intensity on MR depends on the amount of calcifications and ossifications and fibrous tissue low SI and cystic components high SI on T2. A periosteal reaction with or without layering may be present.


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Osteosarcoma 2 Here images of an osteosarcoma in the right femur.



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FD is often purely lytic, but may have a groundglass appearance as the matrix calcifies.

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Cortical soft tissue extension may produce radiating spicules of bone called sunray appearance. Here a patient with a broad-based osteochondroma with extension of the cortical bone into the stalk of the lesion.

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Sclerotic bone tumors and tumor-like lesions

Here a patient with a mineralized mass in the soft tissues. There are no calcifications. Enchondroma is a fairly common benign cartilaginaous lesion which may present as an entirely lytic lesion without any calcification, as a dense calcified lesion or as a mixed leson with osteolysis and calcifications. Symptoms are usually absent, however, in adult patients with a chondroid lesion in a long bone, particularly of larger size, always consider low-grade chondrosarcoma.
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2 thoughts on “Vertebral sclerotic lesions
  1. Most commonly originate from prostate and breast cancer and less frequently from lung cancer, lymphoma or carcinoid.