Objective To investigate the MSCT features of pulmonary sclerosing hemangioma (PSH) and analyzed the misdiagnosed cases,in order to improve the diagnostic accuracy. Methods MSCT features of 11 patient(9 females and 2 males)with PSH which confirmed by pathology from 2010 to 2014 were analyzed retrospectively,among which 7 cases underwent plain and enhanced CT scan,4 cases underwent plain CT scan only,and 5 cases had multiple planar reconstruction. Results A total of 11 cases were solitary,10 were round or oval in shape,and 1 case was irregular nodules.Five cases showed homogeneous density and the other 6 cases showed inhomogeneous,in which,3 cases with cystic degeneration,2 cases showed spotty calcification.All cases had smooth edge except 4 cases with light lobulated edge.All the cases had obvious enhancement,and 2 cases had delayed enhancement.One case showed ground glass density,"welt vessel signs" in 5 cases and "tail signs" in 2 cases.Six cases were preoperative misdiagnosed.Two of them were misdiagnosed as peripheral lung cancer,one was diagnosed as bronchioalveolar carcinoma, one hamartoma,one metastasis and one tuberculoma. Conclusions The PSH is common in middle-aged and senior women and had some special MSCT features.Obvious enhancement,"welt vessel signs" and "tail signs" were very helpful for the diagnoses. The MPR can help the spatial orientation and display the relationship between the lesions and adjacent tissues.