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SIGNS IN RADIOLOGY | MD/MS/DNB

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SIGNS IN RADIOLOGY
Posted on May 2, 2012
Accordion sign : Appearance of bowel that may be seen with pseudomembranous colitis .
Air crescent sign : Appearance of cavitation that may be seen with invasive apergillosis (see also
Monod sign).
Anteaters nose sign : Sign of calcaneonavicular tarsal coalition.
Apple Core lesion : Circumferential narrowing of the lumen secondary to colon cancer.
Ball on tee sign : Sign of papillary necrosis on IVU.
Banana sign : Seen on antenatal US and refers to a banana-shaped configuration of the
cerebellum. Associated with neural tube defects .
Bat wing appearance (chest) : Classic chest radiography finding for pulmonary edema.
Bat wing appearance (neuro) : Appearance of 4th ventricle that may be seen with Joubert
syndrome.
Bergmans coiled catheter sign : Sign of ureteral transitional cell carcinoma when a catheter
coils in region of neoplasm (see also Goblet sign).
Birds beak : Narrowing of the esophagus in achalasia.
Birds beak sign or bird of prey sign : Narrowing of the colon in cecal volvulus.
Blade of grass : Paget disease.
Bone in bone sign : Appearance of spine that may be seen osteopetrosis.
Boot-shaped Heart : Appearance of heart that may be seen with tetralogy of Fallot .
Boxcar ventricles : Appearance of frontal horns that may be seen in Huntingtons disease.
Bracket Calcification : Corpus Callosum Lipoma
Breast in a breast : Term used to describe Fibroadenolipomas.
Bulging fissure sign : Bulging of a pulmonary fissure. Most commonly associated with Klebsiella
pneumonia.
Bullet carpal bones : Appearance of carpal bones that may be seen
with mucopolysaccharidoses.
Butterfly vertebrae : Results from failure of fusion of the lateral halves of the vertebral body
because of persistent notochondal tissue between them.
C sign : Sign of talocalcaneal tarsal coalition.
Cake kidney : All renal tissue is fused into one pelvic mass and gives rise to two separate ureters
which enter the bladder in normal relationship.
Canoe paddle ribs : Appearance of ribs that may be seen with mucopolysaccharidoses.
Celery stalking : Irregular appearance of metaphyses in patients with rubella. Also used to
describe metaphyses in patients with osteopathia striata.
Central dot sign : Sign of Carolis disease.
Champagne sign : Specific but not commonly seen ultrasound finding for emphysematous
cholecystitis.
Cloverleaf skull : Appreance of the skull that may be seen with thanatophoric dysplasia.
Cluster of grapes : Appearance that may be seen with pneumatosis cystoides coli.
Cobra head sign : Dilatation of the distal ureter which may be seen in patients with ureteroceles.
Coffee bean sign : Sigmoid volvulus.

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Collar sign : Sign of diaphragmatic rupture.
Comet sign : Sign to differential a phlebolith from a ureteral stone. Calcified phlebolith represents
the comet nucleus and the adjacent, tapering, noncalcified portion of the vein is the comet tail
(also see soft-tissue rim sign).
Comet tail sign : Produced by the distortion of vessels and bronchi that lead to an adjacent area
of round atelectasis.
Cord sign : Sign of intracranial dural sinus thrombosis .
Corkscrew collaterals : Appearance of collaterals that may be seen in patients with Buerger
disease.
Corkscrew sign : Upper GI series sign of midgut volvulus.
Corduroy appearance : Appearance of thickening trabeculations seen in intraosseous
hemangiomas of the spine. See also polka-dot pattern.
Crazy-paving sign : Nonspecific appearance consisting of linear network or reticular pattern with
areas of ground-glass opacification. Classically associated with pulmonary alveolar proteinosis.
Crossover sign : Anterior acetabular rim is projected laterally relative to the same point of the
posterior rim in the superolateral aspect of the acetabulum. See with pincer
type femoroacetabular impingement.
Cyclops lesion : May occur status post anterior cruciate ligament reconstruction.
David Letterman sign : :Sign of scapholunate ligament disruption (also see Terry Thomas sign).
Dense vessel sign : Sign of cerebrovascular accident that represent thrombus in the middle
cerebral artery.
Dependent viscera sign : Sign of diaphragmatic rupture (viscera falls to a dependent position).
Dot and dash pattern : Sacral insufficiency fracture.
Double bleb sign : Appearance of amnion and yolk sac at 5-6 weeks. Embryo lies between
amnion and yolk sac
Double bubble sign : Sign of duodenal atresia and other forms of duodenal obstruction.
Double decidua sign : Sign of early normal intrauterine gestation.
Double density sign (cardiac) : Sign of left atrial enlargement when right side of the left atrium
pushes into the adjacent lung.
Double density sign (Nucs) : Pattern of uptake that may be seen on bone scans in patients
with osteoid osteomas.
Double duct sign : Simultaneous dilatation of the common bile and pancreatic ducts that is
generally caused by a tumor in the pancreatic head.
Double PCL sign : MRI sign of a bucket-handle meniscal tear.
Double track sign : :Appearance of hypertrophic pyloric stenosis that may be seen on upper GI
series.
Draped aorta sign : Sign of contained rupture of an abdominal aoric aneurysm.
Drooping lily sign : Inferolateral displacement of the opacified lower pole moiety in a duplex
kidney from an obstructed (unopacified) upper pole moeity.
Egg on a string : Appearance of the heart that may be seen with transposition of great arteries.
Empty delta sign : Sign of intracranial dural sinus thrombosis.
Epicardial fat pad sign : Sign of a pericardial effusion.
Eye of the tiger sign : low signal intensity circumscribing the globus pallidus in patients
with Hallervorden-Spatz syndrome.
Faceless kidney : Appearance of kidney secondary to any process that obliterates renal sinus
(i.e. lymphoma, transitional cell carcinoma).
Fallen fragment sign : Sign of a pathologic fracture seen with unicameral bone cysts.
Feeding vessel sign : Sign of pulmonary septic emboli.
Flame shaped (Breast) : Gynecomastia.
Flame shaped (MSK) : Paget disease.
Fat halo sign : Seen in various diseases of the bowel in which fatty infiltration of the submucosa
is present.
Fat ring sign : Preservation of the perivascular fat around the mesenteric vessels that may be
seen with mesenteric panniculitis.
Flat tire sign : Sign of a ruptured globe.
Flat waist sign : Appearance of left heart border that may be seen with left lower lobe atelectasis.
Figure 3 sign : Appearance of the aorta that may be seen in patients with coarctation of the
aorta.
Figure of eight : Appearance of the brain in pachygyria.
Finger in glove sign : Sign of mucous plugging seen with allergic bronchopulmonary aspergillosis.
Fish vertebrae : Description of shape of vertebral bodies that may be seen in patients with sickle
cell disease. See also: H-shaped vertebral bodies.
Football sign : Sign of pneumoperitoneum seen on supine radiographs.

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Gastrointestinal string sign : Sign of Crohn disease.
Goblet sign : Sign of ureteral transitional cell carcinoma that may be seen on retrograde or
intravenous urography (see also Bergmans coiled catheter sign).
Gull wing appearance : Appearance of erosions that may occur in patients with erosive
osteoarthritis.
H-shaped vertebral bodies : Shape of vertebral bodies that may be seen in patients with sickle
cell disease. See also: Fish vertebrae.
Halo sign : Ground-glass attenuation surrounding a pulmonary nodule or mass on CT images.
Represents hemorrhage and is highly suggestive of Aspergillus.
Hamptons hump : Triangular opacity secondary to infarction in the periphery of the lung distal to
a pulmonary embolism.
Head cheese sign : Sign of subacute hypersensitivity pneumonitis.
Hidebound sign : On small bowel series, crowding of folds in dilated loops of small bowel may be
seen in patients with scleroderma.
High-attenuating crescent sign : Sign of impending abdominal aoric aneurysm rupture.
Hole within a hole : Appearance that may be seen when eosinophilic granuloma involves the
skull.
Holly leaf appearance : Chest radiograph finding that may be seen with asbestos pleural plaques.
Honda sign : Sacral insufficiency fracture.
Hot cross bun sign : May be seen on axial T2 weighted images of the pons in multiple system
atrophy.
Hot nose sign : Sign that may be observed on brain flow scans in patients with brain death.
Hourglass appearance : MRI appearance that may be seen with concentric cystic adventitial
disease.
Interstitial line sign : Sign that may be seen with an interstitial ectopic pregnancy.
Inverted Napoleons hat sign : Sign of severe spondylolisthesis at the lumbosacral junction.
Ivory vertebra sign : Increase in opacity of a vertebral body that retains its size and contours, with
no change in the opacity and size of adjacent intervertebral disks.
Juxtaphrenic peak sign : Tenting of the diaphragm that may be seen with right upper
lobe atelectasis.
Keyhole sign : US appearance that may be seen with posterior urethral valves.
Lace like : Pattern that may be seen with sarcoid arthropathy.
Lace-like pattern : Ultrasound appearance of hemorrhagic ovarian cysts.
Lacunar skull : Appearance of skull that may be seen in infants with Chiari II malformation.
Lambda sign : On a Gallium-67 citrate scan, uptake in the hilar and paratracheal lymph nodes
gives the appearance of a lambda. This is seen in sarcoidosis.
Lead pipe : Narrowing of colon with loss of haustra that may be seen in patients with ulcerative
colitis .
Linguine sign : MRI sign that may be seen in patients with intracapsular breast implant rupture.
Lobster claw sign : Sign of papillary necrosis on IVU.
Lollipop : Appearance of diverticula that may been seen on HSG in patients with adenomyosis.
Luftsichel sign : Air cresent. Sign that may be seen with left upper lobe atelectasis.
Mark Morton sign : Throckmortons sign with a small penis.
Mercedes Benz sign : Appearance of gas within gallstones.
Moulage sign : Effaced loop of bowel that may be seen on a small bowel series in sprue.
Molar tooth sign (GU) : Perivesicular extravasation of contrast on CT cystogram in a patient with
extraperitoneal bladder rupture.
Molar tooth sign (Neuro) : Enlarged and horizontally directed tubular structure on each side of the
midline emerging from the midbrain in patients with Joubert syndrome.
Monod sign : Air surrounding an aspergilloma (Also see air crescent sign).
Mount Fuji sign : CT sign of tension pneumocephalus.
Naclerios V sign : V shaped lucency that may be seen over the left lower mediastinium
in pneumomediastinum.
Nipple sign : Appearance of hypertrophic pyloric stenosis that may be seen on ultrasound.
Nubbin sign : Reflux nephropathy involving the lower pole of a duplicated collecting system.
Nutmeg liver : Pattern of liver enhancement seen with passive congestion.
Onion ring appearance : US appearance that may be seen with a testicular epidermoid cyst.
Paintbrush appearance : Linear striations of contrast material opacifing collecting tubules that
may be seen with medullary sponge kidney.
Panda sign : On a Gallium-67 citrate scan, uptake in the lacrimal and salivary glands gives the
appearance of a panda. This is suggestive of sarcoidosis.
Parallel track sign : Pattern of uptake that may be seen on bone scan in patients
with hypertrophic osteoarthropathy.

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Pear-shaped bladder : Bladder assumes the shape of a pear when it undergoes extrinsic
compression due to excess tissue in the pelvis.
Pearl necklace sign : MRI sign that may be seen with adenomyomatosis.
Pencil in cup deformity : Erosion pattern of digits that may be seen in patients with psoriatic
arthritis.
Picture frame vertebral body : Thicken cortex of vertebral bodies that may be seen in patients
with Paget disease.
Picket fence : Appearance of bowel that may be seen on small bowel series with Whipple
disease or gastrointestinal amyloidosis.
Pistol grip deformity : Appearance of the proximal femur that may be seen with cam
type femoroacetabular impingement.
Playboy bunny sign : US sign of the appearance of the confluence of the hepatic veins with the
IVC.
Polka-dot pattern : Appearance of thickening trabeculations seen in intraosseous
hemangiomas of the spine. See also Corduroy appearance.
Porcelain gallbladder : Calcification of the gallbladder wall.
Putty kidney : Appearance that may be seen with end-stage renal tuberculosis.
Reversal sign : CT sign of anoxic brain injury where gray matter is lower in attenuation that white
matter (the opposite is normal).
Reversed halo sign : Relatively specific sign of pulmonary nodules in cryptogenic organizing
pneumonia.
Ribbon bowel : Appearance of bowel that may be seen on barium studies in graft versus host
disease.
Ribbon ribs : Appearance of ribs that may be seen with neurofibromatosis 1.
Rice kernel : CT appearance that may be seen with dacryolithiasis.
Riglers sign : Sign of pneumoperitoneum where both sides of a loop of bowel are outlined by air.
Rim sign : On cholescintigraphy, increased uptake is seen in the region of the gallbladder fossa.
Sign is specific for acute cholecystitis.
Ring of fire sign : US finding. Hypervascular ring in the adnexa that may be seen with
either ectopic pregnancy or corpus luteum.
Ring sign : CT sign of epiploic appendagitis.
Rosary sign : CT sign that may be seen with adenomyomatosis.
Rugger jersey spine sign : Appearance of spine that may be seen with secondary
hyperparathyroidism or chronic renal failure
S sign of Golden : Right upper lobe atelectasis created by a central mass. Should raise the
suspicion of a central neoplasm.
Saber-sheath trachea : Appearance of trachea that may be seen with COPD.
Saber shin : Appearance of tibia that may be seen with syphilis.
Sandstorm appearance : Appearance of lungs that may be seen in pulmonary alveolar
microlithiasis.
Salt and pepper pattern : Flow voids seen in glomus tumors.
Salt and pepper skull : Appearance of skull that may be seen in patients
with hyperparathyroidism.
Sandwich sign : Bulky lymphoma encasing mesenteric vessels.
Sandwich vertebra : Sclerotic endplates that may be seen with osteopetrosis.
Sausage digit : Soft tissue swelling of digits in patients with psoriatic arthritis.
Scimitar sign : MRI appearance that may be seen with eccentric cystic adventitial disease.
Scottie dog : On oblique radiographs, the posterior elements form the appearance of a Scottie
dog. Spondylolysis can have the appearance of a collar around the neck.
Shepards crook deformity : Appearance of proximal femur that may be seen with fibrous
dyplasia.
Shoulder sign : Appearance of hypertrophic pyloric stenosis that may be seen on upper GI
series.
Signet ring sign (Chest) : Sign of bronchiectasis.
Signet ring sign (GU) : Sign of papillary necrosis on IVU.
Small heart sign : Sign of tension pneumopericardium.
Snowman : Appearance of heart that may be seen with supracardiac total anomalous pulmonary
venous return.
Snowstorm pattern (breast) : US pattern for breast implant rupture.
Snowstorm pattern (Ob/gyn) : US pattern for a molar pregnancy.
Soft-tissue rim sign : Appearance of a ureteral edema surrounding a calculus. Helps differentiates
a calculus from a phlebolith (also see comet sign).
Spade shape : Shape of tufts that may be seen with acromegaly.

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Spalding sign : Overlapping cranial sutures. Sign of fatal demise on prenatal ultrasound.
Spider web : Appearnace of collateral vessels that may be seen on hepatic venography in BuddChiari syndrome.
Spinnaker sail sign : Elevation of the thymus by air that may be seen with pneumomediastinum.
Split pleura sign : CT sign of thoracic empyema.
Spoke wheel enhancement pattern (GU) : May be seen with oncocytomas
Spoke wheel enhancement pattern (GI) : May be seen with focal nodular hyperplasia.
Spokewheel sign (GI) : Pattern of mesentery that may be seen with small bowel volvulus.
Starry sky : US appearance that may be seen with hepatitis.
Steeple sign : Appearance of narrowing of the subglottic tracheal lumen that may be seen
with croup.
Stepladder sign : US sign that may be seen in patients with intracapsular breast implant rupture.
Straight line sign : PET sign of peritoneal carcinomatosis.
Strawberry skull : Appearance of skull that may be seen on fetal US with Trisomy 18.
String of beads : Appearnace of multiple stenosis that may be seen in patients with fibromuscular
dysplasia.
String sign : Appearance of hypertrophic pyloric stenosis that may be seen on upper GI series.
Stripe sign : On a V/Q scan, subpleural activity in a region of decreased pulmonary perfusion.
Sign is used to rule out pulmonary embolism.
Subependymal Calcification : Tuberous Sclerosis

Related Searches:
Mesothelioma
Treatment
Prostate Cancer
Bone Metastases
Metastatic Liver
Pleural Fluid
Liver Metastases

Superior triangle sign : Sign that may be seen with right lower lobe atelectasis.
Talar beak : Sign of talocalcaneal tarsal coalition.
Tau sign : MRI sign of a persistent trigeminal artery.
Telephone receiver shaped femora : Appearance of femora that can be seen with thanatophoric
dysplasia.
Terry Thomas sign : Sign of scapholunate ligament disruption (also see David Letterman sign).
Throckmortons sign : The penis points to the pathology.
Thumb sign : Classic lateral radiographic finding for epiglotitis.
Thumbprinting : Sign of bowel wall thickening seen with entities such as ischemic
bowel, diverticulitis, Crohns disease, and ulcerative colitis.
Tip of the iceberg sign : Ultrasound sign that may be seen with mature cystic teratomas.
Tit sign : Appearance of hypertrophic pyloric stenosis that may be seen on upper GI series.
Tram-track sign (chest) : Sign of bronchiectasis.

Lung Tumors

Tram line calcification (neuro) : Sign of optic nerve meningioma in tuberous sclerosis.

Cancers Of The
Brain

with Sturge Weber syndrome.

Tram-track calcification (neuro) : Appearance of cortical calcifications that may be seen


Tram-track sign (nucs) : Bone scan finding that may be seen with hypertrophic osteoarthropathy.
Tree in bud : Nonspecific pulmonary pattern seen on thin-section computed tomography,most

Lung Cancer
Metastasis

commonaly with tuberculosis.


Trident hand : Appearance of hands that may be seen with achondroplasia.
Trough line sign : In posterior shoulder dislocation, frontal radiographs reveal two nearly parallel

Pleural
Mesothelioma

lines in the superomedial aspect of the humeral head.


Umbrella sign : Sign of a ruptured globe.
Wall-echo-shadow sign : Sign of cholelithiasis on US when the gallbladder is filled with calculi.

Colon Cancer
Metastasis

Waterlily sign : Sign of hydatid cyst.


Water can perineum : Sign of fistula formation secondary to periurethral abscess,associated with
gonnorhea infection.
Wave sign : Sign produced by lateral indentation of thymus by adjacent anterior ribs. This sign in
seen in the pediatric population and represents a normal thymus.
Whirlpool Sign : US sign of midgut volvulus in a neonate.
Wimbergers ring sign : A circular, opaque radiologic shadow surroundsing epiphyseal centers of
ossification in patients with scurvy.
Wimbergers sign : Symmetrical lesions seen in the proximal tibial medial metaphysis in
patients with syphilis.
Westermarks sign : Regional pulmonary oligemia secondary to pulmonary embolism.
Yin-yang sign : Swirling blood flow pattern within a pseudoaneurysm.
Yo-yo on a string sign : MRI appearance of a Stener lesion (see Gamekeeper thumb)

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