Gorham syndrome, also known as massive osteolysis or vanishing bone, i
s a rare disorder (135 cases reported) leading to extensive loss of bo
ny matrix, replaced by proliferating thin-walled vascular channels. Th
ree histologically proven cases of the disease are reported, including
the clinical presentation and modern imaging features with CT (with 3
D reconstruction) as well as T1- and T2-weighted MRI. Two cases in you
ng women were located in the pelvis with extensive osteolysis reaching
to the acetabulum. The third case in a 2-month-old boy is the younges
t case ever reported and involved the humerus. The radiological appear
ance of the disease is discussed and the importance of the modern imag
ing methods debated.