RadioGraphics
Angiomatous lesions of the musculoskeletal system are common and can involve either bone or the soft tissues. Unfortunately, these lesions are often confused with other neoplastic processes. This article reviews the radiologic appearances of musculoskeletal angiomatous lesions with all imaging modalities including radiography, scintigraphy, ultrasound (US), computed tomography (CT), magnetic resonance (MR) imaging, and angiography. The corresponding pathologic basis accounting for these manifestations is emphasized. Lesions to be discussed include hemangioma, lymphangioma, glomus tumor, angiomatosis and the numerous angiomatous syndromes (Gorham disease, Maffucci syndrome, Klippel-Trnaunay-Weber syndrome, Osler-Weber-Rendu disease, and Kasabach-Merritt syndrome), hemangioendothelioma, hemangiopericytoma, and angiosarcoma. Recognizing the clinical and imaging characteristics of these lesions and syndromes is often diagnostic and helps guide treatment of these conditions.