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Steps History: 1+CK+CS

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USMLE Step 1 Radiology buzzwords

Apple Core lesion signifies annular carcinomas of the colonlooks like

an apple core or napkin ring(see below) due to circumferential narrowing of the lumen,
noted on contrast studies.

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Bamboo Spine fused spinal segments with their syndesmophytes look, on radiographs,
similar to bamboo stalksclassically associated with ankylosing spondylitis.

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Bird's Beak noted on Upper GI with contrast, a dilated upper/middle esophagus with
an abrupt taper to exceptionally narrowedlumen, typical of achalasia.

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Boot-shaped Heart due to RVH, the LV is lifted above the edge of the diaphragm,
forming the toe of the boot. Classic for Tetralogy of Fallot.

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Bat's Wing/Butterfly this appearance on CXR is classically associated with CHF and
resultant pulmonary edema.
Cobblestone appearance this sign is produced on barium studies due to ulcerative
pockets, usually in the terminal ileum, indicative of Crohn's.

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Codman's Triangle a triangle on plain film of extremities that signifies reactive bone,
classically associated with osteosarcoma, or other infectious/hemorrhagic process that
causes periosteal elevation.

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Coin lesion solitary pulmonary nodule; may be cancer or granuloma.

Cutter lesions metastatic lesions to bone cortex, or Paget's.

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Crescent sign classic sign of avascular necrosis, femoral head.

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Egg-on-a-string a large, ovoid-shaped heart on newborn CXR, classically signifying

complete transposition of the great vessels with intact ventricular septum.
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Ground glass a white-out on CXR, usually PCP pneumonia or ARDS.

Hampton's Hump a peripheral triangle, usually near pleural edges, classically PE.

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Honeycomb lung used to describe any pathologic process that causes radiographic
appearance of multiple small, thick-walled cystic spaces; e.g. pulmonary fibrosis.

Lead pipe sign classic narrowing of bowel lumen, with loss of haustraUC.

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Napkin Ring sign see Apple core lesion above; pathology identical, but lumen more

Onion-skinning layered look of periosteum in Ewing's Sarcoma.

Rachitic Rosary this is a string of beads appearance on x-ray, a thickening of

costochondral margins that is noted in Ricketts(Vit. D Deficiency).
click image to enlarge

Sail sign (elbow) fat pad noted on plain film, indicative of elbow disclocation.

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Sail Sign (Chest X ray) Thymic shadow in children seen in chest X ray.

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Scotty dog(collar) on posterior oblique, the lumbar vertebrae look like

a Scottish terrier. The neck is the pars interarticularis, and a break(a collar) noted there
indicates spondylolysis.

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String sign thin, slightly irregular shadow in narrowed lumen of ileum, suggestive of

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Silhouette sign obliteration of cardiovascular silhouette due to adjacent disease, ie

pneumonia, TB, etc.
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Stepladder appearance distended bowel loops, often indicative of obstruction, usually


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Sunburst appearance clouds, clumps, and consolidated rays of tissue emanating

from bone cortex, or within bony structures, indicative of osteosarcoma.

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Thumb(print) sign on lateral c-spine, an enlarged epiglottis appears as a thumb


Westermark's sign abrupt end to a pulmonary vessel, signifying oligemia or PE.

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Thanx to Myeng

If you know any more, please add to the list

Merge Notice: This post is a merger of two posts; the second post contained images
posted by Hohepa