Forensic Medicine

Tuesday, September 1, 2015

Radiology Signs

·         Rabbit Ear Sign : Bilateral Subdural Hematomas in CT (Both frontal horns pointing poateriorly).

·         Dawson's Fingers : Multiple Sclerosis - MRI Brain (the result of inflammation around long axis of medularry veins)

·         Light Bulb sign - In posterior dislocation of shoulder.

·         Golden-S-Sign : Right upper lobe collapse in Chest X Ray.

·         'Bat Wing Deformity of cerebral ventricles on CT/MRI - Agenesis of Corpus Callosum.
(AIIMS Nov'07 Expln)

·         'Moth Eaten appearance' in V/Q Scan - Lung ----> Seen in BRONCHIOLITIS OBLITERANS.
(AIIMS Nov'07 Expln)

·         'Reticular Pattern' in Chest CT ---> Follicular Bronchitis. (AIIMS Nov'07 Expln)

·         'Sandstorm Appearance' or sand like appearance in Chest Radiography --> Seen in Pulmonary Alveolar Microlithiasis (P.A.M).(AIIMS Nov'07 Expln)

·         Deep white matter lesion with bilateral bright thalami on C.T.--> KRABBE's Disease (Globoid Leukodystrophy). (AIIMS NOV'07 Q)

·         Looser's Zones or Pseudofractures : Classically seen in Osteomalacia. (Also seen in Paget's, Fibrous Dysplasia, and osteoporosis)

·         Protusio Acetabuli and Triradiate Pelvis - Osteomalacia.

·         Rugger Jersey Spine - Osteopetrosis / Albers-Schonberg Disease /Marble Bone Disease and in Renal Osteodystrophy.

·         Boot shaped heart / Cor en Sabot --- Tetralogy of Fallot.

·         Box Shaped Heart --- Ebstein's Anomaly.

·         Snowman Appearance / Figure of 8 Appearance - TAPVC (Asked 2 times in May 08 AIIMS)

·         Figure of 3 / Reverse Figure of 3 --- Coarctation of Aorta.

·         Goose Neck Sign --- Endocardial Cushion Defects.

·         Sitting Duck Sign --- Patent Truncus Arteriosus.

·         Scimitar Sign --- PAPVC - Partial Anomalous Pulm Venous Return.

·         Scimitar Sacrum ---- Presacral Meningomyelocole.

·         Floating water Lily sign ---- Hydatid Cyst of Liver.

·         Westermark's Sign --- Focal area of oligemia d/t vasoconstriction distal to embolus.

·         Palla's Sign -- Enlarged Right Descending Pulmonary Artery.

·         Hampton's Hump --- Peripheral Wedge shaped opacity in CXR d/t pulmonary infarct.

·         Fleischner Sign -- Local widening of artery d/t impaction.

·         Knuckle Sign -- Abrupt tapering of Occluded vessel distally.

·         Absent Bow Tie Sign               Bucket-handle tear of the menisci
·         Anteater Nose          Calcaneonavicular coalition
·         Anterior Drawer Sign              ACL Tear
·         Bamboo Spine           Ankylosing Spondylitis
·         Bite Sign       Avascular Necrosis
·         Blade of Grass Sign  Paget's Disease
·         Blister of Bone          Aneurysmal bone cyst
·         Bone Bruise Sign      ACL Tear
·         Bone in Bone Sign    Osteopetrosis
·         Boutonniere Deformity         Rheumatoid arthritis
·         Bow Tie Sign               Discoid Meniscus
·         Brim Sign     Paget's Disease
·         Button Sequestrum                Eosinophilic granuloma
·         C Sign            Subtalar coalition
·         Cockade Image         Intraosseous lipoma
·         Cortical Ring Sign      Rotary subluxation
·         Cotton Wool Sign     Paget's Disease
·         Crescent Sign             Avascular Necrosis
·         Crowded Carpal Sign              Volar Perilunar dislocation
·         Cupid's Bow Contour              Normal spine
·         Dagger Sign                Ankylosing Spondylitis
·         Deep lateral femoral notch sign         ACL Tear
·         Double PCL Sign        Bucket-handle tear of the menisci
·         Drooping Shoulder Sign         Inferior subluxation of the shoulder
·         Elbow Fat Pad Sign  Elbow effusion
·         Fallen Fragment       Unicameral bone cyst
·         FBI Sigrn       Lipohemarthrosis
·         Fish Vertebra             Osteopenia
·         Fluid Fluid Level        Aneurysmal bone cyst
·         Fragment-in-Notch Sign        Bucket-handle tear of the menisci
·         H Vertebra  Sickle cell anemia
·         Hair on End Hemolytic anemia
·         Half Moon Sign         Absent in posterior dislocation of the shoulder
·         Heel Pad Sign             Acromegaly
·         Hill-Sachs Sign            s/p anterior shoulder dislocation
·         Incomplete ring sign               Spondylolysis
·         Intravertebral Vacuum Cleft               Avascular Necrosis
·         Inverted Napoleon Hat Sign                Spondylolisthesis
·         Ivory Phalanx Sign   Psoriasis
·         Ivory Vertebra Sign Mets, Paget, Lymphoma
·         Lateral Capsular Sign               ACL Tear - Segund fracture
·         Metacarpal Sign        Short 4th Metacarpal
·         Pedestal Sign             Loosening prosthesis
·         Pneumoarthrogram Sign      Normal - No joint effusion
·         Pronator Sign             Wrist Fracture
·         Rim Sign       Posterior shoulder dislocation
·         Rugger Jersey Sign  Chronic renal failure
·         Sail Sign        Elbow effusion
·         Sausage Digit             Psoriasis
·         Scotty Dog Sign         Spondylolysis
·         Step-Off Vertebral Body Sign             Sickle cell, Gaucher's Disease
·         Swan Neck Deformity            Rheumatoid arthritis
·         Tear Drop Sign (Orbits)          Blowout fracture
·         Teardrop Sign (ankle)             Ankle effusion
·         Terry-Thomas Sign  Scapholunate dissociation
·         Tooth Sign   Enthesopathy
·         Trolley-track sign      Ankylosing Spondylitis
·         Trough Line                Posterior shoulder dislocation
·         Tumbling Bullet Sign               Post traumatic bone cyst
·         Vacuum Phenomenon          Degenerative disk disease

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