F. P. Weber syndrome (FPWS) is a traditional eponymous denomination of a certain type of angiodysplasia, that would nowadays rather be called a mixed haemolymphatic congenital vascular malformation (CVM) with arteriovenous (av) shunting, based on the Hamburg classification of CVMs.
In his origi...
The fabella is an accessory ossicle typically found in the lateral head of the gastrocnemius. It occurs in ~20% (range 10-30%) of the population 1.
The fabella can also be fibrocartilaginous in nature and is occasionally found in the medial head of the gastrocnemius. The fabella articulates wi...
Fabry disease is a multisystem disorder which results from an X-linked inborn error of metabolism. The disease is characterised by a deficiency in hydrolase alpha-galactosidase activity with resultant abnormal accumulation of globotriaosylceramide (Gb3) in various organ systems. In men the condi...
A faceless kidney refers to one in which the normal appearance of the renal sinus on cross-sectional imaging is absent. It was initially described as a sign of duplication of the collecting system 1 (a slice obtained between the two collecting systems will not demonstrate the normal components o...
Facet dislocation refers to anterior displacement of one vertebral body on another. Without a fracture, the only way anterior displacement can occur is by dislocation of the facets.
Facet dislocation can occur to varying degrees:
The injury usua...
The facet (or apophyseal or zygapophyseal) joints are the articulations of the posterior arch of the vertebrae and form part of the posterior column.
They are synovial-lined joints that have a fibrous capsule and connect the articular facets of the vertebrae. The superior facet ...
Facet joint capsules are the fibrous capsule that surround the vertebral facet or zygapophyseal joints. They are particularly thin and loose, attached to the margins of articular facets on adjoining articular processes. The capsules merge medially with the ligamentum flavum.
In the cervical re...
Facet (zygapophyseal) joint injections are one of the most frequently performed spinal interventional procedures, as both treatment for and diagnosis of radicular pain syndrome and facet syndrome. It can be performed under fluoroscopic or CT image guidance and cervical, thoracic or most commonly...
Facial angiofibroma, also known as fibrous papule, is a fairly common skin lesion seen in males and females after puberty.
They represents a focal vascular and collagen growth.
This lesion is usually solitary and located on the nose skin, measuring 1-5 mm.
There is no hereditary p...
The facial artery is one of the branches of the external carotid artery and supplies blood to the structures of the face.
origin - branch of the external carotid artery a little above the level of the lingual
course - ascends anteriorly through the cheek with a tortuous route towards ...
The facial bones comprise a set of bones that make up the face:
inferior nasal concha
zygoma (zygomatic bone)
Where these bones join each other, sutures occur.
Facial clefts comprise of a wide spectrum of pathologies which result from failure of fusion in the facial region during the embryonic - early fetal period. This results is gap in the fetal face. These clefts can affect the lip, philtrum, alveolus and hard and soft palate to varying degrees.
The facial colliculus is an elevation on the floor of the fourth ventricle and is not formed by the facial nerve nucleus, but by the fibres of the facial nerve arching backwards around the abducens nerve (CN VI) nucleus before turning forwards once more in caudal pons.
A lesion involving the fa...
Facial colliculus syndrome refers to a constellation of neurological signs due to a lesion at the facial colliculus, involving:
abducens nerve (CN VI) nucleus
facial nerve (CN VII) fibres at the genu
medial longitudinal fasciculus
lower motor neuron facial nerve palsy ...
Facial fractures are commonly caused by blunt or penetrating trauma sustained during motor vehicle accidents, assaults, and falls. The facial bones are thin and light making them susceptible to injury.
Males are affected more commonly than females and facial fractures are most com...
The facial nerve is one of the key cranial nerves with a complex range of functions.
Although at first glance it is a motor nerve to facial expression, which begins as a trunk and emerges from the parotid gland as five branches (see facial nerve branches mnemonic here), it has taste and parasy...
There are many mnemonics to recall the branches of the facial nerve (superior to inferior) as they exit the anterior border of the parotid gland. Examples include:
Tall Zulus Bear Many Children
Two Zulus Bit My Cat
Two Zebras Bit My Coccyx
Ten Zebras Buggered My Car
To Zanzibar By Motor Car...
Facial nerve choristomas are rare, being characterised by non-neoplastic proliferation of smooth muscle cells and fibrous tissue. Facial nerve choristomas presumably can occur anywhere along the course of the facial nerve (CN VII), although the only cases reported are in the internal acoustic me...
Facial nerve schwannoma (FNS), also known as facial nerve neuroma/neurilemoma, is a schwannoma that arises from the facial nerve. They are generally uncommon, and when involving the temporal bone, make up less than 1% of all temporal bone tumours.
FNS is a rare tumour 2.
A helpful mnemonic for remembering the segments of the facial nerve is:
I Love Going To Makeover Parties 1
I Love Grinning, Then Making Pouts
both grinning and pouting are performed by muscles which are innervated by the facial nerve
I: intracranial (cisternal)/intracanalicular
Facial palsy refers to the neurological syndrome of facial paralysis. It can result from a broad range of of physiological insult to the facial nerve or its central nervous system origins. The most common causes of this is Bell palsy.
While facial palsy refers to the clinical pres...
Factitious hyperthyroidism or thyrotoxicosis factitia refers to precipitation of thyrotoxicosis due to exogenous ingestion of thyroid hormone (e.g. levothyroxine). It has been rarely associated with myocardial ischaemia 2.
The hypervascularity which is seen wi...
A faecaloma is a mass of faeces most frequently noted in the rectum and sigmoid colon, that is much harder than a faecal impaction due to coprostasis.
Usually, the faecal matter accumulates in the intestine, then stagnates and increases in volume until the intestine becomes deformed ...
Fahr disease, also known as familial cerebral ferrocalcinosis, is a congenital disorder characterised by abnormal calcium deposition with subsequent atrophy involving the basal ganglia, cerebral and cerebellar cortical regions. Both autosomal dominant and autosomal recessive inheritance patterns...
Failed back syndrome refers to persistent leg and/or lumbar back pain after a surgical procedure. The pathophysiology of this syndrome is complex, as often the operation was technically successful.
Other names for failed back syndrome include failed back surgery syndrome, post-lam...
Failed early pregnancy refers to the death of the embryo and therefore, miscarriage. The most common cause of embryonic death is a chromosomal abnormality.
Findings diagnostic of pregnancy failure
crown-rump length (CRL) of ≥7 mm and no heartbeat on a trans...
Failed pregnancy is a pregnancy that will not carry through to term.
It is termed a miscarriage or failed early pregnancy when fetal demise occurs before 20 weeks gestational age and fetal death in utero (FDIU) when it occurs after 20 weeks gestation.
The term "non-viabl...
The falciform crescent is a horizontal ridge that divides the internal acoustic meatus into superior and inferior portions.
The facial nerve and superior vestibular nerve (SVN) travel in the superior portion of the IAM with the facial nerve
anterior to the SVN and separated from ...
The falciform ligament is a broad and thin peritoneal ligament. It is sickle-shaped (Latin: "falciform") and a remnant of the ventral mesentery of the fetus.
It is situated in an anteroposterior plane, but lies obliquely so that one surface faces forward and is in contact with the per...
The falciform ligament sign (also called the Silver's sign) is a sign seen with a pneumoperitoneum.
It is almost never seen in isolation. If there is enough free air to outline the falciform ligament, there is usually enough air to also provide at least a Rigler's sign.
The falciform ligamen...
Fall onto an outstretched hand (FOOSH) is a common mechanism for distal radial injuries.
Some injuries that result from such a fall include:
distal radial fractures
The fallen fragment sign refers to the presence of a bone fracture fragment resting dependently in a cystic bone lesion. This finding is said to be pathognomonic for a simple (unicameral) bone cyst following a pathological fracture.
The finding exists because a simple bone cyst is fluid filled,...
The fallen lung sign (also known as CT fallen lung sign) describes the appearance of collapsed lung away from the mediastinum encountered with tracheobronchial injury (in particular those > 2 cm away from the carina). It is helpful to look for this rare but specific sign, in cases of unexplai...
The Fallopian canal refers to a bony canal through which the facial nerve traverses the petrous temporal bone, from the internal acoustic meatus to the stylomastoid foramen. It is, for those of you fond of trivia, the longest bony canal through which a nerve passes. It is also responsible for th...
Fallopian tube rupture is most often a complication of a tubal ectopic pregnancy where the pregnancy breaks open due to progressive growth. It can potentially lead to shock.
Factors that raise the risk for a tubal rupture in a given tubal ectopic pregnancy include 2-4:
A Fallopian tube polyp refers to a small focal lesion of ectopic endometrial tissue located at the intramural portion of the fallopian tube.
The reported incidence is 1- 2.5% on hysterosalpingograms performed for assessment of infertility 3
Most patients w...
Fallopian tube spasm is a transient functional anomaly that can mimic a true mechanical tubal occlusion. At radiography, tubal spasm cannot be distinguished from a tubal occlusion. Administration of spasmolytic agents such as Glucagon can occasionally result in uterine muscle relaxation and cons...
Fallopian tube torsion is a type of adnexal torsion and usually occurs in association with an ovarian torsion (when it is then termed a tubo-ovarian torsion). An isolated fallopian tube torsion is rare but can occur.
An isolated tubal torsion can occur as a late complication of tuba...
False aneurysms, also known as a pseudoaneurysm, is when there is a breach in the vessel wall such that blood leaks through the wall but is contained by the adventitia or surrounding perivascular soft tissue. A direct communication of blood flow exists between the vessel lumen and the aneurysm l...
False umbilical cord knots are commonly formed variants in the umbilical cord anatomy. It basically represents, exaggerated looping of the umbilical cord vessels, causing focal dilatation of the umbilical cord vessels.
bulge or protruberance in the umbilical c...
The falx cerebelli is a small infolding of the dura in the sagittal plane over the floor of the posterior cranial fossa. It partially separates the two cerebellar hemispheres 1.
The falx cerebelli is attached posteriorly in the midline to the internal occipital crest of the occip...
The falx cerebri is the largest of the four main folds (or septa) of the intracranial dura mater, separating the cerebral hemispheres 1.
The falx cerebri is a double-fold of dura mater that descends through the interhemispheric fissure in the midline of the brain to separate the...
In discussing mineralisation of the falx cerebri, many radiology textbooks use the term falx calcification and make no mention of falx ossification.
Ossification of dural folds is very rare and falx ossification is seen in 0.7% of patients 1. Even though, ossification of an isola...
Familial adenomatous polyposis syndrome (FAPS) is characterised by the presence of hundreds of adenomatous polyps in the colon. It is the most common of the polyposis syndromes.
Familial polyposis coli, attenuated familial adenomatous polyposis and Gardner syndrome are all variants...
Familial multiple cavernous malformation syndrome(s) are uncommon, accounting for only a minority of cavernous malformations.
It has been more frequently reported in patients of Hispanic descent 1.
The presentation is most commonly with seizures (38-55%) 1 ...
Familial multiple lipomatosis (FML) is a hereditary syndrome of multiple encapsulated lipomas which are found on the trunk and extremities, with relative sparing of the head and shoulders.
Inheritance is frequently by autosomal dominant transmission, although cases with recessive inheritance h...
Fanconi anaemia (FA) is a rare disorder characterised by progressive bone marrow failure, various congenital abnormalities, and predisposition to malignancies (often acute myeloid leukaemia). It is considered the commonest type of inherited marrow failure syndrome 7.
The fascial tail sign is the linear extension along the fascia/muscular aponeurosis from a deeper tumor.
It appears as a tail and is best appreciated on MRI, classically seen in desmoid tumours as T2 hypointense bands that progressively enhance particularly on delayed pha...
Fascicular sign is a finding on T2-weighted MRI images that suggests a lesion of neurogenic origin. It is characterised by multiple small ring-like structures with peripheral hyperintensity representing the fascicular bundles within the nerves.
It is found in various neurogenic tumours, includi...
Fat containing breast lesions generally have some radiolucent component on mammography.
They are generally classified at BIRADS II lesions.
fat necrosis within the breast/oil cyst
intramammary lymph node: classically has a central fatty hilu...
A variety of benign and malignant liver lesions may contain macroscopic and or intracytoplasmic fat in sufficient quantities enabling characterization on imaging studies. Most fat containing liver lesions (80%) in patients with cirrhosis are malignant, most of which are hepatocellular carcinoma ...
There are many renal masses which can contain macroscopic fat, including
renal cell carcinoma
renal or perirenal lipoma
Non-mass lesions may also occasionally contain fat
renal junction line
fat in a renal scar
renal sinus lipomatosis
The differential of a fat containing solitary pulmonary nodule is very narrow.
In a well circumscribed smooth or lobulated mass (especially if it has been largely stable in size over time) presence of fat is essentially pathognomonic of a pulmonary hamartoma, and usually not further assessment ...
There is a long list of fat containing thoracic lesions. They may involve the mediastinum, lung, pleura or chest wall.
Differential diagnosis includes:
myelolipoma of lung
lipoblastoma of lung...
Fat embolism syndrome (FES) is a rare clinical condition caused by circulating fat emboli leading to a multisystemic dysfunction. The classical clinical triad consists of:
It occurs in ~2.5% (range 0.5-4%) of th...
The fat halo sign refers to a feature seen on CT examination of the abdomen, and represents infiltration of the submucosa with fat, between the muscularis propria and the mucosa. It is characterised by an inner (mucosa) and outer (muscularis propria and serosa) ring of enhancing bowel wall along...
Fat necrosis within the breast is a pathological process that occurs when there is saponification of local fat. It is a benign inflammatory process and is becoming increasingly common with greater use of breast conserving surgery and mammoplasty procedures.
Most at risk are middle...
In fat-pad impingement syndromes the aetiologies are different for each knee fat pad.
In anterior suprapatellar fat pad impingment syndrome the cause is usually due to either a developmental cause related to the anatomy of the extensor mechanism, or may be related to abnormal mechanics. In this...
The fat redistribution syndrome (or HIV lipodystrophy syndrome) is seen in a number of AIDS patients on HAART. It is characterised by typical changes in body fat distribution.
Features include :
hypertrophy in the neck fat pad (buffalo hump)
increased fat in the abdominal region (protease pau...
The fat ring sign (also known as a fat halo sign) describes preservation of fat around the mesenteric vessels and around soft tissue nodules on back ground of diffuse fat stranding in patients with mesenteric panniculitis or mesenteric lipomas.
This finding may help distinguish mesenteric pan...
Fat suppression is commonly used in magnetic resonance (MR) imaging to suppress the signal from adipose tissue or detect adipose tissue 1. It can be applied to both T1 and T2 weighted sequences.
Due to short relaxation times, fat has a high signal on magnetic resonance images (MRI). This high ...
Fatigue fractures are a type of stress fracture, and are due to abnormal stresses on normal bone. They should not be confused with an insufficiency fracture, which occurs due to normal stresses on abnormal bone. Plain films typically demonstrate a linear sclerotic region. MRI is the most sensiti...
A fatty falx cerebri is a common finding, seen (according to one study) 7.3% of patients, and is explained by fat being a normal feature of the extradural neural axis compartment located between the two visceral layers of the falx.
A fatty falx is an incidental finding and should not be mistak...
Fatty mediastinal masses are relatively uncommon, and the differential diagnosis is brief, including 1-4:
benign mature teratoma
extravasation of lipid-rich hyperalimentation fluid 3
fibrofatty replacement of the central portion of mediastinal l...
Fatty nodal metaplasia in the neck occurs as a result of chronic inflammation or radiotherapy 3. The normal fatty nodal hilum enlarges, such that the lymph node appears cystic. However, its center is of fatty density. There is no surrounding stranding, and the node otherwise looks normal.
The Fazekas scale is used to simply quantify the amount of white matter T2 hyperintense lesions usually attributed to chronic small vessel ischaemia, although clearly not all are due to this.
It divides the white matter in periventricular and deep white matter, and each is given a grade dependi...
The FBI sign is an acronym referring to the components that form a lipohaemarthrosis. It stands for:
FCD may refer to:
focal cortical dysplasia (of the brain)
fibrous cortical defect (of the bone)
The radiographic features of a Charcot joint can be remembered by using the following mnemonic:
6 Ds of Charcot joint
increased density (subchondral sclerosis)
debris (intra-articular loose bodies)
The causes of Charcot arthrop...
Feeding vessel sign consists of a distinct vessel leading directly to a nodule or a mass. This sign indicates either that the lesion has a hematogenous origin or that the disease process occurs near small pulmonary vessels.
A number of vessel-related non-neoplastic disorders of the lung produc...
Feingold syndrome is characterised by the combination of:
alimentary tract atresias especially oesophageal atresia
Feline oesophagus also known as oesophageal shiver, refers to the transient transverse bands seen in the mid and lower oesophagus on a double contrast barium swallow.
The appearance is almost always associated with active gastro-oesophageal reflux 2,3 and is thought to be due to contraction of ...
Felty syndrome comprises of the combination of:
rheumatoid arthritis (RA)
It is thought to occur in ~ 1% of patients with rheumatoid arthritis 2.
History and etymology
Named after Augustus Roi Felty: American (US) physician (1895 -1964) 1
Female infertility is common, and can be due to a number of factors. Radiology often plays a key part of the work-up.
Often more than one factor (including male infertility) is the cause of infertility, some of the common causes are listed below 1-3:
age > 35 years
Female prostate sign is a characteristic imaging sign seen in patients with a large urethral diverticulum.
A large urethral diverticulum in females surrounds the urethra, and elevates the base of the bladder, mimicking the typical appearance of enlarged prostate in males.
Female pseudohermaphroditism (FPH) is a form of disorder of gender development.
Patients with female pseudohermaphroditism have female internal genitalia and female karyotype (XX) with various degree of external genitalia virilization.
congenital adrenal hyperplasia (CAH) ...
The female reproductive system (or tract) comprises of the vagina, uterus, uterine tubes and ovaries.
It can be imaged using almost the entire range of modalities but ultrasound and MRI are most useful.
The female urethra is a simple tube that extends from the internal urethral orifice of the bladder to the external urethral orifice in the vestibule of the vagina.
The female urethra measures approximately 4 cm in length. It is embedded in the anterior vaginal wall and runs with...
Femoral anteversion refers to the orientation of the femoral neck in relation to the femoral condyles at the level of the knee. In most cases, the femoral neck is oriented anteriorly as compared to the femoral condyles. In the case of posterior orientation, the term femoral retroversion is also ...
Femoral artery pseudoaneurysms are usually iatrogenic as the femoral artery is the vessel of choice for most endovascular arterial interventions.
inadequate compression following endovascular intervention
improper arterial puncture tec...
The femoral canal or the medial compartment of the femoral sheath, is the inverted cone-shaped fascial space medial to the femoral vein within the upper femoral triangle. It is only 1-2cm long and opens superiorly as the femoral ring. It serves two purposes:
allows the femoral vein to expand wh...
A femoral hernia is a type of groin herniation and comprises of a protrusion of a peritoneal sac through the femoral ring into the femoral canal, posterior and inferior to the inguinal ligament. The sac may contain preperitoneal fat, omentum, small bowel, or other structures.
Neck of femur fractures (NOF) are common injuries sustained by older patients who are both more likely to have unsteadiness of gait and reduced bone mineral density, predisposing to fracture. Elderly osteoporotic women are at greatest risk.
It is anticipated that the total number ...
The femoral nerve is a large nerve arising from the lumbar plexus and one of two major nerves supplying the lower limb.
It arises from posterior divisions of L2-L4 roots of the lumbar plexus.
emerges from the lateral border of the psoas muscle to descend between ...
Femoral nerve neuropathy occurs when the femoral nerve is compressed as it passes under the inguinal ligament, anterior to iliopsoas.
Causes include surgery (hysterectomy, pelvic, hip, femoral artery catheterization, arterial bypass).
Mass effect from iliacus or iliopsoas may be visualised and...
The femoral ring is the superior opening of the femoral canal. It boundaries are:
medial: lacunar ligament
anterior: medial part of the inguinal ligament
lateral: femoral vein within the intermediate compartment of the femoral sheath
posterior: pectineal ligament overlying the pectineus and ...
The femoral sheath is the funnel-shaped fascial space that extends from the abdomen, inferior to the inguinal ligament, into the femoral triangle. It has variable length and terminates by blending in with the adventitia of the femoral vessels. It is formed from the transversalis and psoas fascia...
Femoral torsion analysis is used to assess the alignment of a femur post surgery. If one side has been operated on it can be compared to the non-operated side.
Superimpose axial images of:
beck of femurs
Draw a line from the centre of the femoral ...
The femoral triangle is found in the anterior upper thigh.
The major boundaries can be recalled with the mnemonic SAIL 1,2:
lateral: medial border of sartorius
medial: medial border of adductor longus
superior: inguinal ligament
floor: iliopsoas (laterally) and pe...
A mnemonic for the boundaries of the femoral triangle is:
This should be easy to remember because the femoral triangle is shaped like a sail.
A: adductor longus
IL: inguinal ligament
Mnemonics to recall the order of the femoral vessels and nerve as they emerge from beneath the inguinal ligament into the femoral triangle are:
From lateral to medial:
N: femoral nerve
A: femoral artery
V: femoral vein
Y: "Y-fronts" (i.e. the midline)
The femoral vein is the main drainage of the lower limb, and accompanies the femoral artery.
Origin and course
The femoral vein accompanies its artery, beginning at the adductor opening as the continuation of the popliteal vein, and ending posterior to the inguinal ligament as ...
Femoro-acetabular impingement (FAI) refers to a clinical syndrome of painful, limited hip motion resulting from certain types of underlying morphological abnormalities in the femoral head/neck region and/or surrounding acetabulum. FAI can lead to early degenerative disease.