Comet tail artifact
Last revised by Ashesh Ishwarlal Ranchod on 28 Oct 2023
Citation, DOI, disclosures and article data
Citation:
Gaillard F, Ranchod A, Bell D, et al. Comet tail artifact. Reference article, Radiopaedia.org (Accessed on 16 Oct 2024) https://doi.org/10.53347/rID-9930
Permalink:
rID:
9930
Article created:
Disclosures:
At the time the article was created Frank Gaillard had no recorded disclosures.
View Frank Gaillard's current disclosures
Last revised:
28 Oct 2023,
Ashesh Ishwarlal Ranchod ◉
Disclosures:
At the time the article was last revised Ashesh Ishwarlal Ranchod had no financial relationships to ineligible companies to disclose.
View Ashesh Ishwarlal Ranchod's current disclosures
Revisions:
18 times, by
13 contributors -
see full revision history and disclosures
Systems:
Sections:
Tags:
Synonyms:
- Comet tail artefact
- Comet tail artifact
- Comet tail
- Comet tails
The comet tail artifact is a grey scale ultrasound finding seen when small calcific / crystalline / highly reflective objects are interrogated and is believed to be a special form of reverberation artifact.
It is similar to the color comet tail artifact and is seen in similar situations, although is in general less sensitive than the latter.
- small renal or ureteric calculi
- small common bile duct stones
- adenomyomatosis of the gallbladder
- pancreatic calcifications of chronic pancreatitis
- testicular microlithiasis (sometimes)
- thyroid colloid nodules
- identification of foreign bodies
Differential diagnosis
Possible considerations include:
See also
Quiz questions
{"containerId":"expandableQuestionsContainer","displayRelatedArticles":true,"displayNextQuestion":true,"displaySkipQuestion":true,"articleId":9930,"questionManager":null,"mcqUrl":"https://radiopaedia.org/articles/comet-tail-artifact-4/questions/2834?lang=us"}
References
- 1. Tchelepi H, Ralls PW. Color comet-tail artifact: clinical applications. AJR Am J Roentgenol. 2009;192 (1): 11-8. doi:10.2214/AJR.07.3893 - Pubmed citation
Incoming Links
Articles:
- BTA ultrasound "U" classification of thyroid nodules
- Rib fractures
- Assessment of thyroid lesions (ultrasound)
- Colour comet tail artifact
- Colloid nodule (thyroid)
- Subcutaneous emphysema
- Comet tail (disambiguation)
- Inspissated colloid
- Pneumoperitoneum
- Evaluation of endotracheal tube position
- Gallbladder cholesterol polyps
- Lung point sign
- Bedside lung ultrasound in emergency (approach)
- Adenomyomatosis of the gallbladder
- Dermatofibrosarcoma protuberans
- Pneumothorax (ultrasound)
- Ring down artifact
- Benign vs malignant features of gallbladder polyps
- Inanimate object inspired signs
- Multinodular goitre
Cases:
- Colloid thyroid nodule
- Prostatic brachytherapy seeds and comet tail artifact
- Colloid nodule (thyroid)
- Testicular microlithiasis
- Calcified hepatic granulomata
- Cystic struma ovarii tumour
- Gallbladder adenomyomatosis
- Colloid nodule of the thyroid
- Gallbladder adenomyomatosis
- Thyroid colloid nodule
- Inspissated colloid in a thyroid nodule
- Inspissated colloid in a thyroid nodule
- Gallbladder adenomyomatosis
- Multiple biliary hamartomas
- Lung point sign of pneumothorax on ultrasound
- Reverberation artifact
- Twinkling and colour comet tail artifacts
- Gallbladder adenomyomatosis
- Gallbladder adenomyomatosis
- Gallbladder adenomyomatosis - diffuse
Multiple choice questions:
Related articles: Imaging technology
- imaging technology
- imaging physics
- imaging in practice
-
x-rays
- x-ray physics
- x-ray in practice
- x-ray production
- x-ray tube
- filters
- automatic exposure control (AEC)
- beam collimators
- grids
- air gap technique
- cassette
- intensifying screen
- x-ray film
- image intensifier
- digital radiography
- digital image
- mammography
- x-ray artifacts
- radiation units
- radiation safety
- radiation detectors
- fluoroscopy
-
computed tomography (CT)
- CT physics
- CT in practice
- CT technology
- CT image reconstruction
- CT image quality
- CT dose
-
CT contrast media
-
iodinated contrast media
- agents
- water soluble
- water insoluble
- vicarious contrast material excretion
- iodinated contrast media adverse reactions
- agents
- non-iodinated contrast media
-
iodinated contrast media
-
CT artifacts
- patient-based artifacts
- physics-based artifacts
- hardware-based artifacts
- ring artifact
- tube arcing
- out of field artifact
- air bubble artifact
- helical and multichannel artifacts
- CT safety
- history of CT
-
MRI
- MRI physics
- MRI in practice
- MRI hardware
- signal processing
-
MRI pulse sequences (basics | abbreviations | parameters)
- T1 weighted image
- T2 weighted image
- proton density weighted image
- chemical exchange saturation transfer
- CSF flow studies
- diffusion weighted imaging (DWI)
- echo-planar pulse sequences
- fat-suppressed imaging sequences
- gradient echo sequences
- inversion recovery sequences
- metal artifact reduction sequence (MARS)
-
perfusion-weighted imaging
- techniques
- derived values
- saturation recovery sequences
- spin echo sequences
- spiral pulse sequences
- susceptibility-weighted imaging (SWI)
- T1 rho
- MR angiography (and venography)
-
MR spectroscopy (MRS)
- 2-hydroxyglutarate peak: resonates at 2.25 ppm
- alanine peak: resonates at 1.48 ppm
- choline peak: resonates at 3.2 ppm
- citrate peak: resonates at 2.6 ppm
- creatine peak: resonates at 3.0 ppm
- functional MRI (fMRI)
- gamma-aminobutyric acid (GABA) peak: resonates at 2.2-2.4 ppm
- glutamine-glutamate peak: resonates at 2.2-2.4 ppm
- Hunter's angle
- lactate peak: resonates at 1.3 ppm
- lipids peak: resonates at 1.3 ppm
- myoinositol peak: resonates at 3.5 ppm
- MR fingerprinting
- N-acetylaspartate (NAA) peak: resonates at 2.0 ppm
- propylene glycol peak: resonates at 1.13 ppm
-
MRI artifacts
- MRI hardware and room shielding
- MRI software
- patient and physiologic motion
- tissue heterogeneity and foreign bodies
- Fourier transform and Nyquist sampling theorem
- MRI contrast agents
- MRI safety
-
ultrasound
- ultrasound physics
-
transducers
- linear array
- convex array
- phased array
- frame averaging (frame persistence)
- ultrasound image resolution
- imaging modes and display
- pulse-echo imaging
- real-time imaging
-
Doppler imaging
- Doppler effect
- color Doppler
- power Doppler
- B flow
- color box
- Doppler angle
- pulse repetition frequency and scale
- wall filter
- color write priority
- packet size (dwell time)
- peak systolic velocity
- end-diastolic velocity
- resistive index
- pulsatility index
- Reynolds number
- panoramic imaging
- compound imaging
- harmonic imaging
- elastography
- scanning modes
- 2D ultrasound
- 3D ultrasound
- 4D ultrasound
- M-mode
-
ultrasound artifacts
- acoustic shadowing
- acoustic enhancement
- beam width artifact
- reverberation artifact
- ring down artifact
- mirror image artifact
- side lobe artifact
- speckle artifact
- speed displacement artifact
- refraction artifact
- multipath artifact
- anisotropy
- electrical interference artifact
- hardware-related artifacts
- Doppler artifacts
- aliasing
- tissue vibration
- spectral broadening
- blooming
- motion (flash) artifact
- twinkling artifact
- acoustic streaming
- biological effects of ultrasound
- history of ultrasound
-
nuclear medicine
- nuclear medicine physics
- detectors
- tissue to background ratio
-
radiopharmaceuticals
- fundamentals of radiopharmaceuticals
- radiopharmaceutical labeling
- radiopharmaceutical production
- nuclear reactor produced radionuclides
- cyclotron produced radionuclides
- radiation detection
- dosimetry
- specific agents
- carbon-11
- chromium-51
- fluorine agents
- gallium agents
- Ga-67 citrate
- Ga-68
- iodine agents
-
I-123
- I-123 iodide
- I-123 ioflupane (DaTSCAN)
- I-123 ortho-iodohippurate
- I-131
-
MIBG scans
- I-123 MIBG
- I-131 MIBG
-
I-123
- indium agents
- In-111 Octreoscan
- In-111 OncoScint
- In-111 Prostascint
- In-111 oxine labeled WBC
- krypton-81m
- nitrogen-13
- oxygen-15
- phosphorus-32
- selenium-75
-
technetium agents
- Tc-99m DMSA
- Tc-99m DTPA
- Tc-99m DTPA aerosol
- Tc-99m HMPAO
- Tc-99m HMPAO labeled WBC
- Tc-99m MAA
- Tc-99m MAG3
- Tc-99m MDP
- Tc-99m mercaptoacetyltriglycine
- Tc-99m pertechnetate
- Tc-99m labeled RBC
- Tc-99m sestamibi
- Tc-99m sulfur colloid
- Tc-99m sulfur colloid (oral)
- thallium-201 chloride
- xenon agents
- in vivo therapeutic agents
- pharmaceuticals used in nuclear medicine
-
emerging methods in medical imaging
- radiography
- phase-contrast imaging
- CT
- deep-learning reconstruction
- photon counting CT
- virtual non-contrast imaging
- ultrasound
- magnetomotive ultrasound (MMUS)
- superb microvascular imaging
- ultrafast Doppler imaging
- ultrasound localization microscopy
- MRI
- nuclear medicine
- total body PET system
- immuno-PET
- miscellaneous
- radiography
Related articles: Inspired signs
-
inanimate object inspired
- accordion sign
- astronomical inspired
- ball of wool sign
- ball on tee sign (renal papillary necrosis)
- boot-shaped heart
- bowler hat sign
- bow tie sign
- box-shaped heart
- bucket handle appearance (disambiguation)
- chain of lakes sign
- champagne glass pelvis
- cobblestone appearance
- Coca-Cola bottle sign
- cockade sign (disambiguation)
- coin lesion
- collar button ulcer
- comb sign
- corduroy artifact
- corduroy sign
-
corkscrew sign (disambiguation)
- corkscrew sign (diffuse esophageal spasm)
- corkscrew sign (inner ear)
- corkscrew sign (midgut volvulus)
- crazy paving sign
- cupola sign
- curtain sign (lung ultrasound)
- dinner fork deformity
- dripping candle wax sign
- finger in glove sign
- fishhook ureters
- flame-shaped breast (gynecomastia)
- football sign (pneumoperitoneum)
- frozen pelvis
- ghost triad (gallbladder)
- ghost vertebra
- goblet sign
- ground glass opacity
- hockey stick sign (disambiguation)
- horseshoe (disambiguation)
- hourglass sign
- hurricane sign (cardiac SPECT)
- jail bar sign
- keyhole sign (disambiguation)
- leather bottle stomach
- light bulb sign (disambiguation)
- Lincoln log vertebra
- Mercedes-Benz sign (disambiguation)
- misty mesentery sign
- mosaic appearance (disambiguation)
- napkin ring sign
- open book fracture
- pearl necklace sign
- pencil in a cup
- picture frame vertebral body
- polka-dot sign
- rachitic rosary
- ribbon rib deformity
- ring shadow
- rugger jersey spine
- sack of marbles sign
- sail sign (disambiguation)
- scalpel sign
- spilled teacup sign
- stepladder sign (disambiguation)
-
string of pearls sign (disambiguation)
- string of pearls sign (abdominal radiograph of small bowel)
- string of pearls sign (polycystic ovarian syndrome)
- string of pearls sign (fibromuscular dysplasia)
- string of pearls sign (watershed infarction)
- Tam o' Shanter sign
- telephone receiver deformity
- thimble bladder
- tombstone iliac wings
- Venetian blind sign
- Venus necklace sign
- water bottle sign
-
weapon and munition inspired signs
- arrowhead sign
- bayonet artifact
- bayonet deformity
- boomerang sign (disambiguation)
- bullet-shaped vertebra
- cannonball metastases
- Cupid bow contour
- dagger sign
- double barrel sign
- halberd pelvis
- hatchet sign
- panzerherz
- pistol grip deformity
- saber-sheath trachea
- scimitar syndrome
-
target sign (disambiguation)
- double target sign (hepatic abscess)
- eccentric target sign (cerebral toxoplasmosis)
- reverse target sign (cirrhotic nodules)
- target sign (cholangiocarcinoma)
- target sign (choledocholithiasis)
- target sign (hepatic metastases)
- target sign (intussusception)
- target sign (neurofibromas)
- target sign (pyloric stenosis)
- target sign (tuberculosis)
- trident appearance
- Viking helmet sign
- white pyramid sign
- windswept knees
- wine bottle sign
-
vegetable and plant inspired
- aubergine sign
- bamboo spine
- blade of grass sign
- celery stalk appearance (disambiguation)
- coconut left atrium
- coffee bean sign
- cotton wool appearance
- drooping lily sign
- ginkgo leaf sign (disambiguation)
- holly leaf sign
- iris sign
- ivy sign
- miliary opacities
- mistletoe sign
- onion signs (disambiguation)
- pine cone bladder
-
popcorn calcification (disambiguation)
- popcorn calcification (breast)
- popcorn calcification (chondroid lesions)
- popcorn calcification (fibrous dysplasia)
- popcorn calcification (osteogenesis imperfecta)
- popcorn calcification (pulmonary hamartomas)
- popcorn calcification (uterine fibroid)
- potato nodes
- rice signs (disambiguation)
- salt and pepper sign (disambiguation)
- tombstone iliac wings
- tree-in-bud
- tulip sign
- water lily sign
-
fruit inspired
- apple core sign (disambiguation)
- apple-peel intestinal atresia
- banana and egg sign
- banana fracture
- banana sign
- berry aneurysm
- bowl of grapes sign
-
bunch of grapes sign (disambiguation)
- bunch of grapes sign (hydatidiform mole)
- bunch of grapes sign (bronchiectasis)
- bunch of grapes sign (IPMN)
- bunch of grapes sign (botryoid rhabdomyosarcoma)
- bunch of grapes sign (intracranial tuberculoma)
- bunch of grapes sign (intraosseous hemangiomas)
- bunch of grapes sign (multicystic dysplastic kidney)
- cashew nut sign
- lemon sign
- pear-shaped bladder
- strawberry gallbladder
- strawberry skull
- watermelon skin sign
-
animal and animal produce inspired
- human
- mammals
- anteater nose sign
- antler sign
- batwing opacities
- bear paw sign
- beaver tail liver
- Brahma bull sign
- buffalo chest
- bull's eye sign (disambiguation)
- bunny waveform sign
- claw sign
- dog ear sign
- dog leg sign
- dromedary hump
- ears of the lynx sign
- eye of tiger sign
- feline esophagus
- giraffe pattern
- hidebound sign
- ivory phalanx
- ivory vertebra sign
- joint mouse
- leaping dolphin sign
- leopard skin sign
- moose head appearance
- panda sign
- piglet sign
- pleural mouse
- raccoon eyes sign
- rat bite erosions
- rat-tail sign
- Scottie dog sign
- Snoopy sign
- stag's antler sign
- staghorn calculus
- tiger stripe sign
-
zebra sign (disambiguation)
- zebra sign: (cerebellar hemorrhage)
- zebra spleen: arterial phase (spleen)
- zebra stripe sign (osteogenesis imperfecta)
- amphibians
- birds
- bird beak sign (disambiguation)
- bird's nest sign (lung)
- crow feet sign
- egg on a string sign
- eggshell calcification (breast)
- eggshell calcification (lymph nodes)
- gooseneck sign (endocardial cushion defect)
- gull wing appearance
- hummingbird sign
- owl eyes sign
- pooping duck sign
- sitting duck appearance
- swallowtail sign
- swan neck deformity
- winking owl sign
- fish and marine life
- reptiles
- arthropods
- micro-organisms
- fictional creatures
-
food inspired
- Cheerio sign (disambiguation)
- chocolate cyst
- cottage loaf sign
- double Oreo cookie (glenoid labrum)
- doughnut sign (disambiguation)
- hamburger sign (spine)
- head cheese sign (lungs)
- honeycombing (lungs)
- hot cross bun sign (pons)
- ice cream cone sign (middle ear ossicles)
- ice cream cone sign (vestibular schwannoma)
- licked candy stick appearance (bones)
- linguine sign (breast implants)
- macaroni sign
- omental cake
- Oreo cookie (heart)
- pancake organ (disambiguation)
- Polo mint sign
- salad oil sign (breast implants)
- sandwich sign (disambiguation)
- sandwich vertebra
- sausage digit
- spaghetti sign
- Swiss cheese sign
-
alphabet inspired
- A line (US artifact)
- C sign (MSK)
- delta sign (disambiguation)
- E sign
- H-shaped vertebra
- H sign
- J-shaped sella
- J sign (shoulder)
- L sign (brain)
- lambda sign (disambiguation)
- M sign
- omega epiglottis
- O sign (gastric banding)
- P sign (epiglottis)
- S sign of Golden
- tau sign
- T sign (disambiguation)
- U fibers
- U-figure (pelvis)
- U sign (brain)
- V sign (disambiguation)
- W hernia
- X-marks-the-spot sign
- Y sign (epidural lipomatosis)
- Z deformity
-
Christmas inspired
- Christmas tree bladder in neurogenic bladder
- holly leaf sign in calcified pleural plaques
- ivy sign in leptomeningeal enhancement
- nutcracker esophagus in esophageal dysmotility
- shepherd's crook deformity of the femur in fibrous dysplasia
- snowcap sign in avascular necrosis
- snowman sign (disambiguation)
- snowstorm appearance in complete hydatidiform mole and testicular microlithiasis
- miscellaneous