The differential diagnosis for lytic intracortical lesions consists primarily of osteoid osteoma and Brodie's abscess. A third, less-well-known lesion is the intracortical hemangioma. It has an identical appearance to the two aforementioned lesions on bone scan and radiographs. This case report will describe the magnetic resonance imaging appearance of intracortical hemangioma and how it might be differentiated from osteoid osteoma and Brodie's abscess.