A total of 13 patients (11 females, average age of 63 years) with elastofibromadorsi were retrospectively analyzed. The disease was confirmed by surgical intervention in five cases. In other patients (n = 8) the diagnosis was achieved on the basis of clinical and radiological features. Typical imaging features allow for the diagnosis of elastofibromadorsi. Symptomatic lesions need to be surgically removed, whereas asymptomatic ones could be clinically and radiologically monitored.