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Age / Sex : 60 / F
Chief complaint : Newly noted bone lesion on follow up Chest CT
PMHx.
thymoma, type B2 + B1
- s/p Total thymectomy with pericardium, innominate vein and SVC resection (2020-08-06)
- SVC reconstruction with PTFE 14mm graft, pericardium reconstruction with Gore-Tex membrane
What is your diagnosis?
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Courtesy : 최자영 (Ja-Young Choi), 서울대병원(Seoul National University Hospital)
Diagnosis: Vanishing bone metastases
Discussion
Findings
Newly noted small radio-opaque nodular lesions in the C6-C7-T1 vertebral bodies on FU CT scan.
No demonstrable focal bone marrow signal abnormalities on MRI
References
1. Kara M, Pradel C, Phan C, Miquel A, Arrivé L. CT Features of Vertebral Venous Congestion Simulating Sclerotic Metastases in Nine Patients With Thrombosis of the Superior Vena Cava. AJR Am J Roentgenol. 2016;207(1):80-6.
2. Thomas N, Oliver TB, Sudarshan T. Vanishing bone metastases--a pitfall in the interpretation of contrast enhanced CT in patients with superior vena cava obstruction. Br J Radiol. 2011;84(1005):e176-8.
3. Fukamizu EMN, Seabra A, Otto DY, Sawamura MVY, Bordalo-Rodrigues M, Helito PVP. Vanishing bone metastasis: pictorial essay. Radiol Bras. 2021;54(5):336-340.
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