Classic Radiology Signs

Apple Core lesion signifies annular carcinomas of the colonlooks like an apple core or napkin ring due to circumferential narrowing of the lumen, noted on contrast studies.

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

Bird's Beak noted on Upper lumen, typical of achalasia.

! with contrast, a dilated upper"middle esophagus with an abrupt taper to e#ceptionally narrowed

Boot$shaped %eart due to &'%, the (' is lifted abo)e the edge of the diaphragm, forming the *toe+ of the boot. Classic for ,etralogy of -allot.

Bat's .ing"Butterfly this appearance on C/& is classically associated with C%- and resultant pulmonary edema.

Cobblestone appearance this sign is produced on barium studies due to ulcerati)e pockets, usually in the terminal ileum, indicati)e of Crohn's.

Codman's ,riangle a triangle on plain film of e#tremities that signifies reacti)e bone, classically associated with osteosarcoma, or other infectious"hemorrhagic process that causes periosteal ele)ation.

Coin lesion solitary pulmonary nodule0 may be cancer or granuloma.

Cookie Cutter lesions metastatic lesions to bone corte#, or 1aget's.

Crescent sign classic sign of a)ascular necrosis, femoral head.

2gg$on$a$string a large, o)oid$shaped heart on newborn C/&, classically signifying complete transposition of the great )essels with intact )entricular septum.

round glass a *white$out+ on C/&, usually 1C1 pneumonia or A&3S.

%ampton's %ump a peripheral triangle, usually near pleural edges, classically 12.

%oneycomb lung used to describe any pathologic process that causes radiographic appearance of multiple small, thick$walled cystic spaces0 e.g. pulmonary fibrosis.

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

4apkin &ing sign see Apple core lesion abo)e0 pathology identical, but lumen more narrowed.

5nion$skinning layered look of periosteum in 2wing's Sarcoma.

&achitic &osary this is a *string of beads+ appearance on #$ray, a thickening of costochondral margins that is noted in &icketts6'it. 3 3eficiency7.

Sail sign fat pad noted on plain film, indicati)e of shoulder disclocation.

Scotty dog6collar7 on posterior obli8ue, the lumbar )ertebrae look like a Scottish terrier. ,he neck is the pars interarticularis, and a break6a collar7 noted there indicates spondylolysis.

String sign thin, slightly irregular shadow in narrowed lumen of ileum, suggesti)e of Crohn's.

Silhouette sign obliteration of cardio)ascular silhouette due to ad9acent disease, ie pneumonia, ,B, etc.

Stepladder appearance distended bowel loops, often indicati)e of obstruction, usually SB5.

Sunburst appearance*clouds, clumps, and consolidated rays+ of tissue emanating from bone corte#, or within bony structures, indicati)e of osteosarcoma.

,humb6print7 sign on lateral c$spine, an enlarged epiglottis appears as a *thumb+epiglottitis.

.estermark's sign abrupt end to a pulmonary )essel, signifying oligemia or 12.