Vertebral hemangioma

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Back pain.

Patient Data

Age: 30 years
Gender: Female
mri

L4 vertebral body elicits high signal at T1 & T2 WI with coarse vertically oriented trabeculae. The axial images demonstrate the coarse trabeculae on end surrounded by fat signal giving the "salt and pepper" appearance.

L5/S1 small left paracentral disc protrusion.

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