Department of Radiodiagnosis, Tata Medical Center, India.
Nepal Health Research Council, Nepal.
J Nepal Health Res Counc. 2021 Sep 6;19(2):411-413. doi: 10.33314/jnhrc.v19i2.3504.
We report cases of vertebral body enhancement in patients with superior vena cava and brachiocephalic venous obstruction appearing as sclerotic metastases in post-contrast CT.A 58-year-old male presented with right lung mass compressing the superior vena cava.Sclerotic areas seen involving few vertebrae in post-contrast scans.Another patient, 64-year-old female with right lung mass and narrowing of left brachiocephalic vein, sclerosis of lower cervical and upper dorsal vertebrae were seen in contrast studies. In both cases after resolution of pathology following treatment showed no enhancement in post contrast scan which was attributed to the collaterals arising due to obstruction, obviously not seen in metastases. Keywords: Brachiocephalic vein obstruction; computed tomography CT; superior vena cava SVC; vertebral enhancement; venous collaterals.
我们报告了几例上腔静脉和头臂静脉阻塞患者的椎体增强病例，这些患者在增强 CT 上表现为硬化性转移。一名 58 岁男性因右肺肿块压迫上腔静脉而就诊。增强扫描显示少数椎体有硬化区。另一名 64 岁女性因右肺肿块和左头臂静脉狭窄而就诊，对比研究显示下颈椎和上胸椎有硬化。在这两种情况下，治疗后病理缓解后，在增强扫描中均无增强，这归因于阻塞引起的侧支形成，显然在转移中看不到。关键词：头臂静脉阻塞；计算机断层扫描 CT；上腔静脉 SVC；椎体增强；静脉侧支。
