Most common benign spinal neoplasm
Most hemangiomas are asymptomatic and discovered accidentally.

Plain film:

Findings include: sclerotic vertebra with prominent trabecular pattern, and vertical trabeculae.

CT:

Usually as an incidental finding. Better visualization of thickened vertical trabeculation.

MRI:

Signal intensity is somewhat variable, depending largely on the amount of fat content.

  • T1: high is more common (fat rich).
  • T2: high.