Saturday, January 28, 2017

A SIGN

Accordion Sign-appearance of oral contrast trapped between colonic folds thickened by submucosal edema, esp in C. difficile colitis

Abdominal Cocoon-AKA sclerosing encapsulating peritonitis; encasement of variable lengths of bowel by a dense fibrocollagenous membrane giving the appearance of a cocoon

Air Crescent Sign-sickle-shaped lucency partly surrounding a mass in a pulmonary cavity on chest x-ray & CT; classically, aspergillomas

Air Bronchogram Sign-black-branching air-filled bronchi visible because of surrounding airspace disease, such as in pneumonia

Angel Wing Appearance-AKA Bat Wing-pattern of pulmonary edema which involves perihilar regions and spares cortex of lung

Anteater's Nose Sign-on lateral view of foot, elongated anterior, superior process of calcaneous seen in tarsal coalition

Aortic Nipple-bump caused by left superior intercostal vein as it wraps around outer edge of aorta

Apple Core-appearance of an annular constricting carcinoma of the bowel, usually the colon, from circumferential involvement of lumen

Acorn cyst-breast-breast-US-type of complex cyst where the echogenicity within the cyst is due to fat and protein cells; also known as Fatty Cyst


Absent Bow-Tie Sign-absence of normal bow-tie appearance of meniscus on sagittal MRI of knee in bucket handle tears

B SIGN

Bat Wing Appearance-AKA Angel Wing-pattern of pulmonary edema which involves perihilar regions and spares cortex of lung

Berry Aneurysm-an intracranial aneurysm most often occurring in the Circle of Willis, particularly at the junction of major vessels in the anterior circulation

Blade of Grass Sign-AKA flame sign; advancing, wedge-shaped, osteolytic margin of active Paget disease of bone; usually seen in diaphysis

Beveled Edge Appearance-asymmetric erosion of the inner and outer tables of the skull usually seen with eosinophilic granuloma

Bird's Beak Sign-AKA Rat-tail Sign; irregularly marginated tapering of esophagus in achalasia
Bowler Hat Sign-cup-shaped filling defect seen on air contrast BE that represents polyp if it points toward lumen and tic if it points away

Black Pleural Line-paradoxical appearance of pleura in pulmonary microlithiasis because of innumerable dense calcifications in adjacent lung

Bird of Prey Sign-tapered barium column in sigmoid volvulus; Bird's beak sign in achalasia

Boot-shaped Heart-shape of heart in Tetralogy of Fallot due to upturned apex from RVH and concave pulmonary artery segment

Bowtie Appearance-of facets in the cervical spine on lateral view in unilateral rotatory subluxation at and above the site of rotation

Bamboo Spine-undulating contour of spine caused by bridging syndesmophytes seen in ankylosing spondylitis
Bucket Handle Tear-vertical tear in knee of mostly medial meniscus with displacement of fragment toward notch

Butterfly Vertebra-congenital sagittal cleft through center of vertebra with funnel-shaped ends on AP view of spine

Bone-within-a-Bone-inner layer of cortical new bone within an existing bone seen with osteopetrosis, Sickle Cell Dz, Thorotrast

Breast-within-a-Breast-in fibroadenolipoma / hamartoma of breast; benign proliferation of normal breast components – fibrous, glandular, and fatty tissues – are surrounded by a thin capsule of connective tissue

Bear Paw Sign-dilated renal calyces with normal renal pelvis seen in calculus disease and
xanthogranulomatous pyelonephritis

Boutonniere Deformity-hyperextension of distal interphalangeal joint and flexion of proximal interphalangeal joint in RA

Brim Sign-thickening of the iliopectineal line (pelvic brim) in Paget's disease

Boomerang Sign-hyperintense signal in the splenium of the corpus callosum accompanying stroke; also an MRI sign in peroneus brevis split syndrome

Box-shaped Heart-squared-off appearance of the heart in Ebstein's Anomaly due to large right atrium and dilated right ventricular outflow tract

Bite Sign-MSK-gouged-out defect due to collapse of bone in head of femur in avascular necrosis

Bulging Fissure Sign-bulging of usually minor fissure from heavy,exudative pneumonia like Klebsiella


Banana Sign-abnormal shape of the cerebellum from compression seen on MRI or antenatal US in spina bifida and other neural tube defects

Tuesday, January 24, 2017

C SIGN

Carman Meniscus Sign-large gastric ulcer seen on
UGI convex in towards the lumen of the stomach, the
rolled edges indicative of malignancy


Cortical Ring Sign-circular shadow cast by rotated
scaphoid in scapholunate subluxation secondary to
scaphoid's abnormal orientation


Coin Lesion-a solitary pulmonary nodule generally
considered less than 3 cm in size, most often a
granuloma or hamartoma


Codman's Triangle-triangular elevation of
periosteum from an aggressive, usually malignant,
bone tumor such as an osteosarcoma


Cotton Wool Appearance-islands of poorly
marginated sclerotic disease surrounded by less
dense skull in Paget disease



Cobra Head Abnormality-rounded dilatation of distal
ureter, surrounded by thin lucent line, seen in
patients with adult-type ureteroceles


Cobblestone Appearance-GI-alternating normal and
denuded mucosa from ulceration, esp in Crohn's
disease of the colon


C Sign-on lateral view of foot in tarsal coalition, a
continuous arc from medial cortex of talus to inferior
cortex of sustentaculum talus


Cervicothoracic Sign-a mass extends above clavicles
on frontal chest radiograph should be posterior in
chest


Cluster of Grapes Sign-multiple gas-containing cysts
usually in segment of left colonic wall in
pneumatosis cystoides intestinalis


Coffee-bean Sign-dilated sigmoid colon in sigmoid
volvulus thought to resemble a giant coffee-bean


Colon Cutoff Sign-dilated transverse colon, usually
to splenic flexure, associated with pancreatitis or
ischemic colitis


Comb Sign-contrast-enhanced tubular opacities on
the mesenteric side of the ileum aligned like the
teeth of a comb, especially in Crohn disease


Comet Tail Sign-lung-focal area of collapsed lung
adjacent to pleural thickening with distortion of
blood vessels in rounded atelectasis


Comet Sign-appearance of a calcified phlebolith and
its adjacent non-calcified vein; may aid in DDX from
ureteral calculus


Continuous Diaphragm Sign-visualization of entire
upper surface of diaphragm from
pneumomediastinum


Corduroy Sign-vertically oriented, thickened
trabeculae seen in vertebral body hemangiomas


Corkscrew Esophagus-constricted, twisted lumen
usually seen in diffuse esophageal spasm from
abnormal, tertiary contractions


Crazy Paving Sign-fine reticular pattern
superimposed on areas of ground-glass opacity on
HRCT, first described with alveolar proteinosis


Crescent Sign-appearance of a sliver of air usually
best seen beneath the right hemidiaphragm in
pneumoperitoneum


Cannonball Metastases-large, hematogenously
spread metstatic lesions in the lungs of varying sizes
most often from colon, breast, renal, thyroid
primaries


Cockade Sign-intraosseous calcaneal lipoma with
central calcification resembling the badge generally
worn upon a hat


Collar Button Ulcer-GI-ulceration with undermining
of submucosa producing distinctive shape, esp with
ulcerative colitis


Champagne Glass Pelvis-squaring of the iliac wings
in achondroplasia producing a champagne glass
appearance of the pelvic inlet


Crescent Sign (Hip)--subarticular radiolucency of
femoral head seen best on frog lateral in avascular
necrosis


Celery Stalking-striated appearance of metaphyses in
patients with rubella and osteopathia striata; also
degenerated ACL on MRI


Corkscrew Sign-spiral appearance of 4th part of
duodenum on UGI in children with mid-gut volvulus


Cottage Loaf Sign-constricted appearance of liver
herniated through a right-sided diaphragmatic
rupture looks like English cottage loaf


Coned Epiphyses-are usually normal but may occur
in sickle cell anemia, congenital diseases, infection,
trauma, and radiation injury


Codfish Vertebra-biconcave appearance of the
vertebral bodies themselves in sickle cell disease
from avascular necrosis resembling the vertebra of
codfish


Crowded Carpal Sign-overlap of the distal and
proximal carpal rows in perilunate dislocation


Cupola Sign-arcuate lucency superimposed on lower
thoracic spine on a supine abdomen representing
free air under the central diaphragmatic tendon


Cobblestone Pattern-hysterosalpingographyrounded
filling defects from intraluminal adhesions


D SIGN

David Letterman Sign-widening of distance between
the scaphoid and lunate (>3mm) on PA view from
ligament disruption-AKA Terry Thomas sign


Dense MCA Sign-early CT sign, <6hrs, of ischemic
stroke seen with thrombosis of the middle cerebral
artery; false + findings may occur


Double Bubble Sign-dilated stomach and proximal
duodenum in newborn, typically seen in duodenal
atresia, midgut volvulus or annular pancreas


Double Density Sign-overlapping of an enlarged left
atrium and the normal right atrium on a frontal chest
radiograph


Doughnut Sign-in nucs, radiotracer uptake
surrounding a photopenic testis in testicular torsion;
in GI CT, thickening of the bowel wall



Dense Hilum Sign-appearance of hilum which is
neither enlarged nor calcified implying
superimposed lung density


Draping Aorta Sign-blood that has leaked from the
abdominal aorta


Deep Lateral Sulcus Sign-abnormally deep
depression of the lateral condylopatellar
sulcus which can be an indirect sign of an ACL tear


Deep Sulcus Sign-inferiorly depressed costophrenic
angle from pneumothorax seen on supine
radiograph of chest


Double Bronchial Wall Sign-air outlining the trachea
and proximal bronchi in pneumomediastinum


Drooping Lily Sign-appearance of lower pole calyces
in a duplicated collecting system with a nonfunctioning
upper pole


Double PCL Sign-low signal band parallel to PCL
produced by fragment of meniscus in bucket handle
tear on knee MRI


Double Duct Sign-dilatation of both the common bile
duct and pancreatic duct on cross-sectional imaging,
mostly by ca of pancreatic head or ampulla of vater


Double Track Sign-UGI-redundant mucosa separates
barium into two columns in pyloric channel in
hypertrophic pyloric stenosis


Dripping Candle Wax Sign-cortical hyperostosis on
one side of bone likened to melting wax, seen in
melorheostosis


Dromedary Hump Sign-cortical bump on lateral
aspect of left kidney caused by compression by
adjacent spleen


Drooping Shoulder Sign-inferior subluxation of
shoulder from hemarthrosis or flaccid paralysis


Dagger Sign-dense line caused by ossification of
supraspinous and interspinous ligaments in
ankylosing spondylitis