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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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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.
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