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OrthoVellum

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Oncology
intermediate
X-Type

Vertebral Hemangioma

Benign Bone Lesions

A 55-year-old woman undergoes spinal MRI for unrelated symptoms, and an incidental T12 vertebral body lesion is noted. The lesion shows a characteristic "polka-dot" pattern on axial CT and high signal on both T1 and T2 MRI sequences. She is asymptomatic with no neurological deficits. Regarding vertebral hemangiomas:

Mark each as TRUE or FALSE

A

Vertebral hemangiomas are common benign vascular lesions found incidentally in 10-12% of spinal MRI ...

B

Characteristic imaging features include vertical striations on plain radiographs and CT ("corduroy c...

C

Vertebral hemangiomas are rare and usually malignant; they always require biopsy; low signal on both...

D

Aggressive hemangiomas (less than 1% of vertebral hemangiomas) may cause symptoms through vertebral ...

E

Treatment depends on clinical presentation: observation for incidental asymptomatic lesions (vast ma...

Answer the questions to see explanations

Click T (True) or F (False) for each option