“假性”骨转移是什么可能会？

Bone pseudo-metastases in superior vena ca syndrome

Author(s)：Rodrigues T; Gomes A; Gonçalves, A; Fonseca, J;

DOI: 10.1594/EURORAD/CASE.12463

上腔冠状动脉综合征致”假性“骨转移（Bone pseudo-metastases in superior vena ca syndrome）。

CLINICAL HISTORY：

临床病史：

A 46-year-old woman with history of rectal cancer stage IV diagnosed in 2013, treated with an anterior rectal resection followed by adjuvant chemo and radiotherapy. She had done multiple chemotherapy treatments to the present date. The disease had metastasized to her lungs but no other sites of metastasis were documented.

患者女，46岁；2013年确诊为直肠癌IV期，接受了手术、辅助放化学疗法，目前已经做了多次化学疗法，断定肺部转移但未断定其它部位转移。

胸部CT增强检查：

图1：Innonimate veins obstruction(无名冠状动脉列车运行)

Contrast-enhanced coronal reformatted CT image showing occluded innominate veins (red arrow). There is a chemotherapy catheter placed through the right innominate vein (white arrow).

增强CT冠状位重组示无名冠状动脉列车运行（红箭）；右侧无名冠状动脉内化学疗法导管押上（白箭）。

图2：Triangular shaped vertebral uptake

Left: unenhanced scan showing no notorious changes of vertebral bodies atenuation (red arrows); Right: post-contrast images with triangular shaped uptake centered to basivertebral foramen (red arrows), secondary to venous stasis and colaterals (white arrowheads)

图样：平扫CT显示栉体密度无明显变化（红箭）; 右图：增强后图像显示栉体的栉一组冠状动脉区的六边形的密度增高（红箭），所致的冠状动脉淤滞和侧支冠状动脉停止使用（白记号）。

图3：Triangular shaped vertebral uptake - Sagital reconstruction。三浦状位重组德赛，栉体上颌六边形的密度增高。

Post-contrast sagital reconstructions showing vertebral bodies triangular shaped uptake centered to basivertebral foramen (red arrows)

增强后三浦状位重组德赛栉体上颌栉一组冠状动脉长方形六边形无定形。

FINAL DIAGNOSIS:Pseudo-bone metastasis (vertebral plexus vascular congestion)

终于确诊：“假性”骨转移（栉冠状动脉丛血管水肿）。

注：Pseudo-bone metastasis ， 意译为”假性“骨转移，请各位发放格外专业的翻译同义词，对不起！！！