Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.

1,099 results found
Article

Snowball sign (Susac syndrome)

The snowball sign refers to the appearance of the corpus callosum on FLAIR and T2 weighted sequences in patients with Susac syndrome. Within the substance of the body and splenium of the corpus callosum, best seen on sagittal images, are spherical well-demarcated high-signal regions 1,2. This ...
Article

Buffalo hump

A buffalo hump describes lipomatosis of the posterior neck and interscapular region. It may be idiopathic or caused by a variety of underlying medical conditions. idiopathic Cushing syndrome 1 Cushing disease steroid therapy HIV-associated lipodystrophy 2 Mad...
Article

Yolk stalk sign

The yolk stalk sign is the abnormal sonographic finding of the embryo being separated from the yolk sac in early pregnancy when crown rump length ≤ 5 mm. It is suspicious but not diagnostic of a failed early pregnancy. In early embryonic development, the embryo is typically adjacent to the devel...
Article

Spoke wheel sign (focal nodular hyperplasia)

The spoke wheel sign is described in focal nodular hyperplasia (FNH) and describes the pattern of internal vasculature of FNHs seen on color Doppler ultrasound when multiple arteries radiate peripherally from the center of the lesion. This sign was classically applied to the color/power Doppler...
Article

Bladder vessel sign

Bladder vessel sign refers to the visualization of tortuous flow voids on MRI traversing space between the urinary bladder and the uterus (vesicouterine space); which normally contains fat and is devoid of blood vessels. The sign is seen in the case of placenta accreta spectrum disorders, where...
Article

Hepatic atrophy

Hepatic atrophy is a common appearance on imaging of the liver. It may result from obstruction of a major branch of the portal vein, bile ducts or hepatic veins. It does not usually occur secondary to hepatic arterial flow compromise. Compensatory hypertrophy of the unaffected segments/lobes is ...
Article

Flip-flop fungus sign - FDG PET-CT

The flip-flop fungus sign suggests benign pulmonary disease on FDG-PET 4. Lung cancer nodules demonstrate increasing FDG-avidity as the tumor grows. Lymph node spread occurs later and is therefore at an earlier stage of development and usually exhibits lower FDG-avidity 4. Acutely, FDG-avidity...
Article

Lung pulse sign (ultrasound)

The lung pulse sign refers to the sonographic finding of apparent oscillations of the pleural line occurring secondary to transmitted vibrations from cardiac contractile activity 1.  Typically obscured by the more apparent “lung sliding” as a result of ventilated lung expanding and contracting ...
Article

Soap bubble appearance (DNET)

The soap bubble appearance, also known as the bubbly appearance, has been described in dysembryoplastic neuroepithelial tumors (DNET). It describes a multi-loculated pseudocystic appearance of the DNET on T2 weighted images 1,2. These areas show partial suppression on FLAIR and are often associa...
Article

Murphey's teat

Murphey’s teat, also known as Murphey’s tit or Murphey’s excrescence, refers to the cerebral angiographic finding of a focal outpouching within an intracranial aneurysm that indicates the likely site of rupture in a patient with subarachnoid hemorrhage 1,2. This sign, when present, is particular...
Article

Diaphragmatic slips

Diaphragmatic slips are the muscular bundles that attach the central tendon of the diaphragm to the inside of the bones and cartilage of the lower 6-7 ribs, xiphoid process, lumbar vertebrae 1. They can mimic or help identify pathology when seen on imaging modalities. Mimics Diaphragmatic slip...
Article

Amniotic fluid sludge (ultrasound)

Amniotic fluid sludge is a finding in obstetric transvaginal ultrasound scanning. Defined as free-floating hyperechogenic material in close proximity to the cervical internal os within the amniotic cavity of women with intact fetal membranes 1. It images as a dense, homogenous mass 2. Pathology...
Article

Stasis filling

Stasis filling describes persistent visualization of intravenous contrast within the proximal cerebral arteries but not within the cortical branches or venous outflow in suspected brain death patients, mimicking true cerebral blood flow (CBF). Pathology Etiology During brain death, raised int...
Article

Black toenail sign

The black toenail sign is a radiological sign described in mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes (MELAS) on MRI. The sign describes the subacute appearance of radiological correlates of stroke-like episodes, whereby there are small regions of deep cortica...
Article

Furstenberg sign

Furstenberg sign is a clinical feature of masses of the head that communicate with the intracranial compartment. Due to this connection, an increase in intracranial pressure will result in bulging or swelling of the mass. This can occur spontaneously during crying or can be elicited with a Valsa...
Article

Sinus tarsi "see-through" sign

Sinus tarsi "see-through" sign is a radiological sign noted in pes cavus and/or hindfoot varus with the alignment of the sinus tarsi parallel to the x-ray beam resulting in the ability to "see-through" the sinus tarsi on lateral foot x-rays 1,2.
Article

Sharp mediastinum sign

The sharp mediastinum sign is a unique sign in neonatal chest x-rays for medial pneumothoraces or pneumomediastinum, especially as a complication to mechanical ventilation for respiratory distress syndrome (RDS). Radiographic features Plain radiograph As neonatal chest x-rays are taken with t...
Article

Air-tissue interface sign - breast

Air-tissue interface sign on mammography in cases where the mass is located on the skin helps to distinguish it from intra-mammary mass so that in the skin-based lesion, due to the presence of air in the vicinity of a part of the margin, its border is pretty sharp and a narrow lucent rim around ...
Article

Flashlight sign (B-flow)

The flashlight sign is a recently described B-flow vascular ultrasound sign caused by wall adherent and floating thrombi and emboli in arteries, which appear as bright spots on imaging. Radiographic features The flashlight sign is described as a moving, very bright intraluminal focus of signa...
Article

Squeeze sign

The squeeze sign is a pathognomonic feature of a colonic lipoma, where the lesion is seen to change in size and shape upon compression. This can be demonstrated with a barium enema examination where a well-circumscribed, spherical filling defect will be seen to elongate during peristalsis 1,2. T...
Article

Satellite sign

The satellite sign is a radiological sign seen on non-contrast CT of the brain in the setting of intracerebral hemorrhage, and refers to a small hemorrhage adjacent to, and separate from, the main hematoma. It is a predictor of hemorrhage expansion.  Epidemiology The satellite sign can be seen...
Article

Island sign

The island sign is a radiological sign seen on non-contrast CT of the brain. It is used as a marker to predict hematoma expansion and prognosis in patients with intracerebral hemorrhage 1. It is posited that the small islands of hematomas represent multiple sources of hemorrhage from injury to a...
Article

Cashew nut sign

The cashew nut sign is a radiological sign described in juxtacortical intracerebral hemorrhages due to cerebral venous thrombosis, typically on CT. The sign describes a small (<20 mm), concave-shaped intracerebral hemorrhage in the juxtacortical white matter, often near the bottom of a cortical...
Article

Acceleration index

Acceleration index is an indirect sonographic sign to assess renal artery stenosis 1. Usage Acceleration index is used in the Doppler assessment of the renal arteries when assessing for renal artery stenosis. Measurement Acceleration index is calculated by subtracting the initial systolic ve...
Article

Layer cake skull

The layer cake skull refers to the appearance of diffuse calvarial hyperostosis in a distinct concentric pattern deep to the inner table of the skull. It is a relatively common imaging finding in patients with spontaneous intracranial hypotension seen in up to 14% of patients according to a larg...
Article

Athelia

Athelia is a rare congenital condition characterized by the absence of the nipple. This may occur unilaterally or bilaterally. Associations Poland syndrome ectodermal dysplasia 2
Article

Pseudokidney sign (colonic carcinoma)

The pseudokidney sign is a non-specific sonographic sign that describes the reniform shape of a mass with a hypoechoic region (representing bowel wall thickening) surrounding a central hyperechoic portion or echogenic stripe (which represents the apposition of the mucosal surfaces) 1,2.  It can...
Article

Elfin facies

Elfin facies refers to a characteristic facial appearance seen in certain rare congenital syndromes. Terminology Elfin facies is sometimes used synonymously with Williams syndrome and the latter is occasionally called elfin facies syndrome. However elfin facies is seen with other rare genetic ...
Article

Ulnar bow sign

The ulnar bow sign is a radiographic indication of a plastic deformity of the ulna, its assessment is quite useful in the case of a suspected "isolated" radial head dislocation in the pediatric population 1,3. "Isolated" dislocation of the radial head is almost always in fact associated with a ...
Article

Three-territory sign (brain)

The three-territory sign is a radiological sign described in ischemic stroke and is highly specific to hypercoagulability due to malignancy (Trousseau syndrome) being the etiology. However, this sign is not pathognomonic, and may be seen with cardioembolic stroke (e.g. due to atrial fibrillation...
Article

Half-moon sign (femoral neck)

The half-moon sign describes the morphology of bone marrow edema at the femoral neck on fluid-sensitive MRI sequences, which can be seen in osteoid osteoma or stress fractures 1-3.  Differential diagnosis intra-articular osteoid osteoma in patients without a history of overuse, it is highly s...
Article

Double-arc sign

The double-arc sign, also known as the McKee double-arc sign, is a radiographic indication of a coronal shear fracture of the distal humerus, which involves the capitellum and extends beyond the lateral trochlear ridge to include a part of the trochlea 1,2. The double-arc sign is characterized ...
Article

Stener-like lesion of the medial collateral ligament of the knee

Stener-like lesions of the medial collateral ligament (MCL) occur when a tear involves the distal fibers of the superficial medial collateral ligament (sMCL) are displaced superficially to the pes anserinus, which can result in compromised healing. Pathology Usually, the sMCL runs deep to the p...
Article

Reynolds pentad

Reynolds pentad is a combination of clinical signs found in acute cholangitis. It consists of Charcot triad 2-4: fever and/or chills RUQ pain jaundice as well as: delirium or lethargy, and shock Usefulness Sensitivity of Reynolds pentad from a large systematic review of nine studies was ...
Article

Enlarged hilar periportal space sign

The enlarged hilar periportal space sign refers to the widening of the periportal space seen on MRI in early liver cirrhosis. Usage Enlarged hilar periportal space sign is one of the early signs of cirrhosis and may be used to detect fibrotic changes in the liver in patients who do not yet hav...
Article

Black hole sign (intracerebral hemorrhage)

The black hole sign refers to the non-contrast CT appearance of acute extravasation of blood into a hematoma, for example, an intracerebral hemorrhage, and therefore is a predictor of hemorrhage expansion 3. It can be thought of as an encapsulated swirl sign. Radiographic features The black ho...
Article

Zebra sign (disambiguation)

The evocative appearance of the coat of a zebra has been used for several distinctive signs in radiology: zebra sign: cerebellar hemorrhage 1 zebra sign: amyotrophic lateral sclerosis 2 zebra spleen: arterial phase appearance of normal spleen 4,5 zebra stripe sign: treated osteogenesis imper...
Article

Curtain sign (lung ultrasound)

The curtain sign refers to the normal ultrasound characteristics of lung bases where the lungs are fully aerated. This is because the air in the costophrenic recess will cast a hyperechoic "air curtain" over the recess, obscuring the outline of the lateral diaphragm. The "air curtain" will also ...
Article

Parasellar dark T2 signal sign

The parasellar dark T2 signal sign is a MRI feature where there is parasellar low T2 signal. Some authors describe it as a specific finding in differentiating lymphocytic hypophysitis from a pituitary adenoma.
Article

Retroaortic anomalous coronary sign (echocardiography)

The retroaortic anomalous coronary (RAC) sign describes the sonographic appearance of an anomalous left coronary artery traveling posteriorly to the aortic root. It is most commonly observed with anomalous origin of the left circumflex artery from the right sinus of Valsalva, but is also describ...
Article

Contrast agent pooling sign

The contrast agent pooling sign is a CT sign characterized by dense intravenous contrast agent pooling in veins, and may signal imminent cardiac arrest. Radiographic features The contrast agent pooling sign is characterized by dense intravenous iodinated contrast media pooling and layering in ...
Article

Speed test (shoulder)

The Speed test is used to clinically assess for biceps tendon pathology. Anatomy The actions of biceps brachii are supination of forearm and flexion at elbow joint. It is supplied by the musculocutaneous nerve.  Procedure In this test, the examiner places the patient's arm in shoulder flexio...
Article

Feeding artery sign (endometrial polyp)

Feeding artery sign (a.k.a. pedicle artery sign) refers to the presence of a single feeding artery to endometrial lesion using color/power Doppler on ultrasonography. It is often seen in endometrial polyps 1. The feeding vessel indicates the stalk attachment of the polyp to the uterus. Endometr...
Article

Notch sign (primary CNS lymphoma)

The notch sign refers to an abnormally deep depression at the tumor margin in contrast-enhanced MRI in primary CNS lymphoma 1. It is not an uncommon sign in primary CNS lymphoma and can be seen in both immunocompetent and immunocompromised patients. It suggests an irregular growth pattern as wel...
Article

Mickey Mouse sign (anencephaly)

The Mickey Mouse sign in obstetric ultrasound denotes the characteristic "floating appearance" of the fetal cerebral lobes due to the absence of the cranium due to anencephaly.  Radiographic features The sign is best seen in the coronal plane (in relation to the fetal head), where the cerebral...
Article

Frog eye sign

The frog eye sign is seen when the orbital structures show a characteristic protrusion due to fetal anencephaly. The term is particularly used in point of care ultrasound (POCUS) 1.  Radiographic features On obstetric ultrasound the frog eye sign is best appreciated in the coronal plane (in re...
Article

Harris ring

A Harris ring is a ring-like shadow observed at the base of the odontoid process on a lateral radiograph of the cervical spine. It is formed by the superimposition of the lateral masses of the C2 vertebra (axis) on its body. Disruption of the Harris ring is seen in type III, and less commonly, ...
Article

Superior triangle sign (right lower lobe collapse)

The superior triangle sign is seen with complete right lower lobe (RLL) collapse alone or combined with right middle lobe collapse on PA chest x-rays. This sign can be a useful indirect sign of right lower lobe collapse where typical features are absent. Radiographic features Plain radiograph ...
Article

V sign of interphalangeal joint dislocation

The V sign is characterized on a lateral radiograph of the digit by the separation of the dorsal base of the dislocated phalanx and the head of the phalanx proximal to the incongruent joint 1,2. Before reduction, the V sign might be assessed to identify more subtle dorsal subluxations 1. If th...
Article

Scaphoid abdomen

Scaphoid abdomen is the term given to an inward concavity of the anterior abdominal wall. It is used both for the clinical appearance and its radiological equivalent.  In children it maybe a sign of congenital diaphragmatic hernia. In both adult and pediatric patients, it raises the possibility...
Article

Coandă effect (physics)

The Coanda effect refers to the phenomenon by which a narrow jet of liquid (or air) passing through an orifice directly in sequence with a solid (especially convex) surface will deviate from its path and adhere to this curved surface, following its shape in parallel. The mechanism is thought to...
Article

Dragonfly sign

Dragonfly sign describes the appearance of the cerebellum on coronal images, which is seen secondary to cerebellar atrophy in pontocerebellar hypoplasia 1. The sign is so called as the whole cerebellum resembles the shape of a dragonfly if one imagines the vermis is the body of the insect and t...
Article

Collar sign in spondylolysis

The Collar sign in spondylolysis refers to a break in the pars interarticularis of the vertebra on oblique radiographs that can have the appearance of a collar around the Scotty dog's neck. unilateral or bilateral 90% seen at the L5 level and less than10% noted at the L4 level1,2 65% of patie...
Article

Mackler's triad

Mackler's triad consists of the clinical symptoms of vomiting, followed by severe pain in the chest, usually retrosternal, lower thoracic, and upper abdominal, associated with subcutaneous emphysema detected on physical examination, which is suggestive of esophageal rupture (Boerhaave syndrome) ...
Article

Anderson triad

The Anderson triad consists of the clinical findings of tachypnea and abdominal rigidity with lower thoracic or epigastric pain, associated with subcutaneous emphysema, which is usually related to esophageal rupture. 
Article

Sea anemone sign

The sea anemone sign is a unique (but not wholly exclusive) appearance seen in ovarian serous surface papillary borderline tumors (SSPBT). It refers to its surface stroma frequently branches into exophytic papillary stalks, macroscopically 1. Radiographic features On cross-sectional imaging, p...
Article

Comma sign of subscapularis tear

The comma sign of subscapularis tear was first described on arthroscopy but recognized later on MRI. The comma sign represents a full thickness partial width superior subscapularis tear along with torn superior glenohumeral and coracohumeral ligament insertional fibers vertically retracted via a...
Article

Tram-track sign (knee)

The tram-track sign refers to the posterior cruciate ligament (PCL) appearance when it has a diffuse or partial thickening of the anteroposterior diameter greater than 7 mm. It is associated with longitudinal intraligamentous signal abnormalities showing fluid signal characteristics (hyperintens...
Article

Bow-tie sign

"Bow-tie sign" refers to the appearance of rotated facets in unilateral facet joint dislocation. Facet joint displacement coupled with a rotational deformity gives a bow-like like appearance on a lateral view radiograph of spine 1.
Article

Talar shift

Talar shift is a concept, sign and/or measurement describing a displacement of the talus in relation to the articular surface of the distal tibia and the malleolar end segment. The direction of the talar shift is further described in the medical literature and lateral talar shift receives the mo...
Article

Lead pipe fracture

The term lead pipe fracture is the term for a radiographic appearance given to a simultaneous greenstick fracture of one side of the bone (usually metaphysis) with a buckle fracture of the opposing cortex of the same bone.  There are differing opinions in texts as to whether this term should be...
Article

Flame sign (carotid)

The flame sign refers to a gradual tapering of contrast opacification in the mid-cervical internal carotid artery, sparing the carotid bulb. The sign can be observed on angiography (digital subtraction angiography 1, CT angiography 1, or contrast-enhanced MR angiography 2) in either of two scena...
Article

Crescent sign (disambiguation)

The characteristic shape of the crescent has been given to many radiological signs over the years: air crescent sign (aspergillosis) crescent in a doughnut sign (intussusception) crescent sign (arterial dissection) crescent sign (intravenous pyelogram) crescent sign (lung hydatid) crescent...
Article

Doughnut sign (missed testicular torsion)

The doughnut sign, also known as the bull's-eye, halo or ring sign, is the name of a distinctive appearance of a missed testicular torsion on scrotal scintigraphy.  In a missed torsion (i.e. established testicular infarction), there is a reactive hyperperfusion of the ipsilateral dartos muscle ...
Article

Joint mouse

A joint mouse (plural: joint mice) is a historical synonym for an intra-articular loose body. This evocative term predates the discovery of x-rays and originated in orthopedics. It derives from the way in which some intra-articular osteochondral fragments appeared to move rapidly around the insi...
Article

Corkscrew sign (diffuse esophageal spasm)

A corkscrew esophagus, also known as a rosary bead esophagus, is a classic appearance of distal esophageal spasm on a barium swallow. It is actually quite a rare appearance which is seen in <5% cases of distal esophageal spasm. The finding is caused by multiple tertiary (non-propulsive) contract...
Article

Bowler hat sign

The bowler hat sign refers to an appearance on a GI contrast study, which may be seen with both polyps and diverticula of the bowel. The filling defect produced by the pathology mimics the outline of a bowler hat. It was originally described for colonic lesions, but can be seen with lesions thro...
Article

Rice signs (disambiguation)

Two different radiological signs are named for their similarity in size and shape to grains of rice. rice bodies (intra-articular) rice grain calcification (cysticercosis)
Article

Onion signs (disambiguation)

​Due to its distinctive morphology and its layered internal structure the onion has given rise to a number of signs in imaging: onion bulb nerves: Charcot-Marie-Tooth type 1A and chronic inflammatory demyelinating polyneuropathies (CIDP) onion peel sign: pulmonary hydatid cyst onion skin peri...
Article

Salt and pepper noise (MRI artifact)

Salt and pepper noise, also known as impulse noise, has been used to describe the characteristic appearance of a certain artifact seen on MRI. The artifact looks like innumerable black and white pixels throughout the image. Smoothing filters are algorithms designed to diminish the noise whilst ...
Article

Salt and pepper sign (autosomal recessive polycystic kidney disease)

The salt and pepper sign has been given to the heterogeneous echotexture of the enlarged kidneys on ultrasound in children with autosomal recessive polycystic kidney disease (ARPCKD).
Article

Salt and pepper sign (Sjögren syndrome)

The salt and pepper sign has been used to describe the MRI appearance of the parotid gland in Sjögren syndrome. This pertains to a combination of punctate regions of calcification (pepper) and fatty replacement (salt) 1.
Article

Salt and pepper sign (paraganglioma)

The salt and pepper sign is used to describe a typical MRI appearance of some highly vascular tumors which contain foci of hemorrhage, typically a paraganglioma 1-3. The appearance is on T1-weighted sequences, and is made up of: punctate regions of hyperintensity = salt small flow voids = pepp...
Article

Contrast level within inferior vena cava

A dependent contrast level within the inferior vena cava is a situation that can be observed in some cases with inferior vena caval contrast reflux. Its presence is usually associated with very poor cardiac output and can be accompanied by dependent layering of venous refluxed contrast within th...
Article

Inferior vena caval contrast reflux

Reflux of contrast into inferior vena cava can be common findings seen on CT. It is considered a specific but insensitive sign of right-sided heart disease / right heart dysfunction at low contrast injection rates although the usefulness decreases with high injection rates. Conditions associate...
Article

The crisscross sign

The crisscross sign is a fetal ultrasound sign that describes the normal relationship between the ventricular outflows tracts of the fetal heart. The left ventricular outflow tract (LVOT); represented by the take-off of the aorta (Ao) from the left ventricle, is perpendicular (90o) to the right ...
Article

Egyptian eye sign

"Egyptian eye sign" or "sonographic eye sign" refers to the normal appearance of great saphenous vein on ultrasound, in transverse view 1,2. Ultrasound examination of the great saphenous vein shows echogenic fascia surrounding it, with the saphenous fascia superiorly and the muscular fascia inf...
Article

Rib-within-a-rib appearance

Rib-within-a-rib appearance refers to a feature that may be present on plain radiographs of the patients with β thalassemia. As the name suggests, the ribs take on an appearance of having another rib superimposed. The phenomenon is usually visible in the anterior and middle segments of the ribs ...
Article

Northern lights phenomenon

The northern lights phenomenon represents an echogenic band slowly descending distal to the ultrasound transducer, and is exclusively seen during high mechanical index (MI) B-mode scanning after the administration of ultrasonic contrast media. It is not to be confused with prolonged heterogeneou...
Article

Pseudoneuroma sign (plantar plate tear)

The pseudoneuroma sign is an indirect sign of plantar plate tears at the metatarsophalangeal joint (MTPJ) on MRI. This sign refers to pericapsular ill-defined and eccentric to the intermetatarsal space soft tissue thickening and is helpful for raising the accurate diagnosis of a plantar plate te...
Article

Apical rocking

Apical rocking is a radiographic sign that might be seen either on echocardiography or cine imaging on cardiac MRI in the four-chamber view and refers to a movement of the cardiac apex in cardiac dyssynchrony. It is characterized by the following 1-3: short-timed movement of the apex towards th...
Article

Ram's horn sign

The Ram's horn sign, also known as Shofar sign, is the tubular, conical appearance of the stomach antrum seen on a barium meal. The stomach is less distensible and the curved conical appearance resembles the horn of a ram. This is seen in granulomatous disease, typically Crohn disease, but also...
Article

Rosenbach sign (disambiguation)

Rosenbach sign may refer to several different clinical signs: Rosenbach sign (AV regurgitation) Rosenbach sign (eye) Rosenbach sign (hemiplegia) History and etymology Ottomar Ernst Felix Rosenbach (1851-1907), a German physician born in Prussian County in Silesia, graduated from medicine in...
Article

Rosenbach sign (eye)

The Rosenbach sign of the eyes is a clinical sign of Graves disease. It consists of fine tremors of the eyelids when gently closed 1,2. History and etymology Ottomar Ernst Felix Rosenbach (1851-1907), a German physician born in Prussian County in Silesia, graduated from medicine in Breslau in ...
Article

Rosenbach sign (hemiplegia)

Rosenbach sign or phenomenon is a clinical sign described in hemiplegia.  The sign refers to the absence of an abdominal wall skin reflex when stroking the paralyzed side of a patient; conversely on the unaffected side, the reflex is normal 1. See also Rosenbach gave his name to two other cli...
Article

Rosenbach sign (aortic valve regurgitation)

Rosenbach sign is a clinical sign that is seen in severe aortic/tricuspid valve regurgitation. It is elicited as pulsation of the liver, during systole, and it is primarily due to the increased cardiac output and associated retrograde blood flow into the liver 1-3. See also Rosenbach also gave...
Article

Obturator sign

Obturator sign is a clinical sign of acute appendicitis, it is defined as discomfort felt by the subject/patient on the slow internal movement of the hip joint, while the right knee is flexed. It indicates an inflamed pelvic appendix that is in contact with the obturator internus muscle 1-3. Se...
Article

Steelpan sign (sigmoid volvulus)

The steelpan sign refers to the close resemblance of sigmoid volvulus on CT to the percussion instrument known as the steelpan. The steelpan, also known as steel drum or pan, is a Caribbean musical instrument invented in Trinidad and Tobago by the mid-1930s, which became very popular in Trinidad...
Article

Split-wall sign (sigmoid volvulus)

The split-wall sign is one of the signs of sigmoid volvulus. This sign is characterized by the separation of the walls of a single loop of the sigmoid colon due to the invagination of mesenteric fat between them. The intervening fat causes the loop to appear bilobed or C-shaped on axial images, ...
Article

Shrimp sign (progressive multifocal leukoencephalopathy)

The shrimp sign is an MRI marker of cerebellar progressive multifocal leukoencephalopathy, characterized by T2-hyperintensity in the cerebellar white matter abutting but sparing the dentate nucleus. The white matter lesion resembles a shrimp, with the dentate nucleus outlining the belly of the ...
Article

Kussmaul sign

Kussmaul sign is a clinical sign, seen as a paradoxical increase in the jugular venous pressure in response to inspiration. This is opposed to the normal physiological response of inspiration resulting in decreased jugular venous pressure 1. Pathology Etiology This sign typically arises secon...
Article

Boas sign

Boas sign is a clinical sign that is defined as hyperesthesia felt by the patient to light touch in the right lower scapular region or the right upper quadrant of the abdomen. It is classically seen in patients with acute cholecystitis. History and etymology Ismar Isidor Boas (1858–1938), was ...
Article

Carnett sign

The Carnett sign describes an examination finding used to distinguish pain arising from the abdominal wall from pain arising from within the abdomen itself. Eliciting the sign was described as a two-stage procedure. First the examiner locates the point of maximal tenderness through palpation of...