Important sign of disease

*

*🖌Accordion Sign:*
  _Appearance of bowel that may be seen with pseudomembranous colitis._

*🖍Air Crescent Sign:*
  _Appearance of cavitation that may be seen with invasive apergillosis._

*🖌Anteater's Nose Sign:*
  _Sign of calcaneonavicular tarsal coalition._

*🖍Apple Core Lesion:*
  _Circumferential narrowing of the lumen secondary to colon._

*🖌Ball On Tee Sign:*
  _Sign of papillary necrosis on IVU._

*🖍Banana Sign:*
  _Seen on antenatal US and refers to a banana-shaped configuration of the cerebellum. Associated with neural tube defects._

*🖌Bat Wing Appearance (chest):*
  _Classic chest radiography finding for pulmonary edema._

*🖍Bat Wing Appearance (neuro):*
  _Appearance of 4th ventricle that may be seen with Joubert syndrome._

*🖌Beak Sign:*
  _Sigmoid volvulus._

*🖍Bergman's Coiled Catheter Sign:*
  _Sign of ureteral transitional cell carcinoma when a catheter coils in region of neoplasm (see also Goblet sign)._

*🖌Bird's Beak:*
  _Narrowing of the esophagus in achalasia._

*🖍Bird's Beak:*
  _Narrowing of the colon in cecal volvulus._

*🖌Blade Of Grass:*
  _Paget disease._

*🖍Bone In Bone Sign:*
  _Appearance of spine that may be seen osteopetrosis._

*🖌Boot-Shaped Heart:*
  _Tetralogy of Fallot._

*🖍Boxcar Ventricles:*
  _Appearance of frontal horns that may be seen in Huntington's disease._

*🖌Breast In A Breast:*
  _Term used to describe Fibroadenolipomas._

*🖍Bulging Fissure Sign:*
  _Bulging of a pulmonary fissure. Most commonly associated with Klebsiella pneumonia._

*🖌Bullet Carpal Bones:*
  _Appearance of carpal bones that may be seen with mucopolysaccharidoses._

*🖍Butterfly Vertebrae (H Shaped):*
  _Results from failure of fusion of the lateral halves of the vertebral body because of persistent notochondal tissue between them._

*🖌C Sign:*
  _Sign of talocalcaneal tarsal coalition._

*🖍Cake Kidney:*
  _All renal tissue is fused into one pelvic mass and gives rise to two separate ureters which enter the bladder in normal relationship._

*🖌Canoe Paddle Ribs:*
  _Appearance of ribs that may be seen with mucopolysaccharidoses._

*🖍Celery Stalking:*
  _Irregular appearance of metaphyses in patients with rubella. Also used to describe metaphyses in patients with osteopathia striata._

*🖌Central Dot Sign:*
  _Sign of Caroli's disease._

*🖍Champagne Sign:*
  _Specific but not commonly seen ultrasound finding for emphysematous cholecystitis._

*🖌Cloverleaf Skull:*
  _Appreance of the skull that may be seen with thanatophoric dysplasia._

*🖍Cluster Of Grapes:*
  _Appearance that may be seen with pneumatosis cystoides coli._

*🖌Cobra Head Sign/Edder Head:*
  _Dilatation of the distal ureter which may be seen in patients with ureteroceles._

*🖍Coffee Bean Sign:*
  _Sigmoid volvulus._

*🖌Collar Sign:*
  _Sign of diaphragmatic rupture._

*🖍Comet Sign:*
  _Sign to differential a phlebolith from a ureteral stone. Calcified phlebolith represents the comet nucleus and the adjacent, tapering, noncalcified portion of the vein is the comet tail (also see soft-tissue rim sign)._

*🖌Comet Tail Sign:*
  _Produced by the distortion of vessels and bronchi that lead to an adjacent area of round atelectasis._

*🖍Cord Sign:*
  _Sign of intracranial dural sinus thrombosis._

*🖌Corkscrew Collateral:*
  _Appearance of collaterals that may be seen in patients with Buerger disease._

*🖍Corkscrew Sign:*
  _Upper GI series sign of midgut volvulus._

*🖌Corduroy Appearance:*
  _Appearance of thickening trabeculations seen in intraosseous hemangiomas of the spine. See also polka-dot pattern._

*🖍Crazy-Paving Sign:*
  _Nonspecific appearance consisting of linear network or reticular pattern with areas of ground-glass opacification. Classically associated with pulmonary alveolar proteinosis._

*🖌Crossover Sign:*
  _Anterior acetabular rim is projected laterally relative to the same point of the posterior rim in the superolateral aspect of the acetabulum. See with pincer type femoroacetabular impingement._

*🖍Cyclops Lesion:*
  _May occur status post anterior cruciate ligament reconstruction._

*🖌David Letterman Sign:*
  _Sign of scapholunate ligament disruption (also see Terry Thomas sign)._

*🖍Dense Vessel Sign:*
  _Sign of cerebrovascular accident that represent thrombus in the middle cerebral artery._

*🖌Dependent Viscera Sign:*
  _Sign of diaphragmatic rupture (viscera falls to a dependent position)._

*🖍Dot & Dash Pattern:*
  _Sacral insufficiency fracture._

*🖌Double Bleb Sign:*
  _Appearance of amnion and yolk sac at 5-6 weeks. Embryo lies between amnion and yolk say._

*🖍Double Bubble Sign:*
  _Sign of duodenal atresia and other forms of duodenal obstruction._

*🖌Double Decidua Sign:*
  _Sign of early normal intrauterine gestation._

*🖍Double Density Sign (cardiac):*
  _Sign of left atrial enlargement when right side of the left atrium pushes into the adjacent lung._

*🖌Double Density Sign (nucs):*
  _Pattern of uptake that may be seen on bone scans in patients with osteoid osteomas._

*🖍Double Duct Sign:*
  _Simultaneous dilatation of the common bile and pancreatic ducts that is generally caused by a tumor in the pancreatic head._

*🖌Double PCL Sign:*
  _MRI sign of a bucket-handle meniscal tear._

*🖍Double Track Sign:*
  _Appearance of hypertrophic pyloric stenosis that may be seen on upper GI series._

*🖌Draped Aorta Sign:*
 _Sign of contained rupture of an abdominal aoric aneurysm._

*🖍Drooping Lily Sign:*
  _Inferolateral displacement of the opacified lower pole moiety in a duplex kidney from an obstructed (unopacified) upper pole moeity._

*🖌Egg On A String:*
  _Appearance of the heart that may be seen with transposition of great arteries._

*🖍Empty Delta Sign:*
  _Sign of intracranial dural sinus thrombosis._

*🖌Epicardial Fat Pad Sign:*
  _Sign of a pericardial effusion._

*🖍Eye Of The Tiger Sign:*
  _Low signal intensity circumscribing the globus pallidus in patients with Hallervorden-Spatz syndrome._

*🖌Faceless Kidney:*
 _Appearance of kidney secondary to any process that obliterates renal sinus (i.e. lymphoma, transitional cell carcinoma)._

*🖍Face Of Panda Sign:*
  _MRI - Wilson's disease._

*🖌Also Panda Sign:*
  _Gallium Scan -  Sarcoidosis._

*🖍Fallen Fragment Sign:*
  _Sign of a pathologic fracture seen with unicameral bone cysts._

*🖌Feeding Vessel Sign:*
  _Sign of pulmonary septic emboli._

*🖍Flame Shaped (breast):*
  _Gynecomastia._

*🖌Flame Shaped (msk):*
  _Paget disease._

*🖍Fat Halo Sign:*
  _Seen in various diseases of the bowel in which fatty infiltration of the submucosa is present._

*🖌Fat Ring Sign:*
  _Preservation of the perivascular fat around the mesenteric vessels that may be seen with mesenteric panniculitis._

*🖍Flat Tire Sign:*
  _Sign of a ruptured globe._

*🖌Flat Waist Sign:*
  _Appearance of left heart border that may be seen with left lower lobe atelectasis._

*🖍Figure 3 Sign:*
  _Appearance of the aorta that may be seen in patients with coarctation of the aorta._

*🖌Figure 8 Sign:*
  _Appearance of the brain in pachygyria._

*🖍Finger In Glove Sign:*
  Sign of mucous plugging seen with _allergic bronchopulmonary aspergillosis._

*🖌Fish Vertebrae:*
  _Description of shape of vertebral bodies that may be seen in patients with sickle cell disease. See also: H-shaped vertebral bodies._

*🖍Football Sign:*
  _Sign of pneumoperitoneum seen on supine radiographs._

*🖌Gastrointestinal String Sign:*
  _Sign of Crohn disease._

*🖍Goblet Sign:*
  _Sign of ureteral transitional cell carcinoma that may be seen on retrograde or intravenous urography (see also Bergman's coiled catheter sign)._

*🖌Gull Wing Appearance:*
  _Appearance of erosions that may occur in patients with erosive osteoarthritis._

*🖍H-shaped Vertebral Bodies:*
  _Shape of vertebral bodies that may be seen in patients with sickle cell disease. See also: Fish vertebrae._

*🖌Halo Sign:*
  _Ground-glass attenuation surrounding a pulmonary nodule or mass on CT images. Represents hemorrhage and is highly suggestive of Aspergillus. (Invasive)_

*🖍Hampton's Hump:*
  _Triangular opacity secondary to infarction in the periphery of the lung distal to a pulmonary embolism. (Convexity to the hilum) Pulmonary artery dilated. Pala's sign IOC- Multi slice CT (MDCT) Gold standard- Angiography._

*🖌Head Cheese Sign:*
  _Sign of subacute hypersensitivity pneumonitis._

*🖍Hidebound Sign:*
  _On small bowel series, crowding of folds in dilated loops of small bowel may be seen in patients with scleroderma._

*🖌High-Attenuating Crescent Sign:*
  _Sign of impending abdominal aoric aneurysm rupture._

*🖍Hole Within A Hole:*
  _Appearance that may be seen when eosinophilic granuloma involves the skull._

*🖌Holly leaf Appearance:*
  _Chest radiograph finding that may be seen with asbestos pleural plaques._

*🖍Honda Sign:*
  _Sacral insufficiency fracture of bone scan (HOT)._

*🖌Hot Cross Bun Sign- MRI (Cruciform):*
  _May be seen on axial T2 weighted images of the pons in multiple system atrophy- type C._

*🖍Hot Nose Sign:*
  _Sign that may be observed on brain flow scans in patients with brain death._

*🖌Hourglass Appearance:*
  _MRI appearance that may be seen with concentric cystic adventitial disease._

*🖍Humming Bird Sign:*
 _PSP (progressive supra nuclear palsy)._

*Interstitial Line Sign:*
  _Sign that may be seen with an interstitial ectopic pregnancy._

*🖍Inverted Napoleon's Hat Sign:*
  _Sign of severe spondylolisthesis at the lumbosacral junction. Best X-ray - lateral, CT better - break in pars reticularis (spondylolysis)- with collar Scotty dog._

_C.f.- normal lateral oblique view of vertebra- Scotty Dog._

_Beheaded Scotty dog- spondylolisthesis._

*🖌Ivory Vertebra Sign:*
  _Increase in opacity of a vertebral body that retains its size and contours, with no change in the opacity and size of adjacent intervertebral disks. - paget's ds, hodgkin lymphoma._

*🖍Juxtaphrenic Peak Sign:*
  _Tenting of the diaphragm that may be seen with right upper lobe atelectasis._

*🖌Keyhole Sign:*
  _US appearance that may be seen with posterior urethral valves dilated. Due to obstruction._

*🖍Lace Like:*
  _Pattern that may be seen with sarcoid arthropathy._

*🖌Lace Like Pattern:*
  _Ultrasound appearance of hemorrhagic ovarian cysts._

*🖍Lacunar Skull:*
  _Appearance of skull that may be seen in infants with Chiari II malformation._

*🖌Lambda Sign:*
  _On a Gallium-67 citrate scan, uptake in the hilar and paratracheal lymph nodes gives the appearance of a lambda. This is seen in sarcoidosis._

*🖍Lead Pipe/Pipe Stem Colon:*
  _Narrowing of colon with loss of haustra that may be seen in patients with ulcerative colitis._

*🖌Linguine Sign:*
  _MRI sign that may be seen in patients with intracapsular silicon gel breast implant rupture._

_Complication - MRI for diagnosis._

*🖍Lobster Claw Sign:*
  _Sign of papillary necrosis on IVU. Egg in cup calyces Golf ball on T sign._

*🖌Lollipop:*
  _Appearance of diverticula that may been seen on HSG in patients with adenomyosis._

*🖍Luftsichel Sign:*
  _"Air cresent". Sign that may be seen with left upper lobe atelectasis._

*🖌Mark Morton Sign:*
  _Throckmorton's sign with a small penis._

*🖍Mercedes Benz Sign:*
  _Appearance of gas within gallstones. (on xray)._

*🖌Moulage Sign:*
  _Effaced loop of bowel that may be seen on a small bowel series in sprue. (Long standing Malabsorption)._

*🖍Molar Tooth Sign (GU):*
  _Perivesicular extravasation of contrast on CT cystogram in a patient with extraperitoneal bladder rupture._

*🖌Molar Tooth Sign (Neuro):*
  _Enlarged and horizontally directed tubular structure- cerebellar peduncles on each side of the midline emerging from the midbrain in patients with Joubert syndrome. (Bat wing appearance)._

*🖍Monod Sign:*
  _Air surrounding an aspergilloma (Also see air crescent sign)._

*🖌Mount Fuji Sign CT:*
  _Phalopathy Single ventricle, fusion of forebrain, Halo pro encephaly._

*🖍Paintbrush Appearance:*
  _Linear striations of contrast material opacifing collecting tubules that may be seen with medullary sponge kidney._

*🖌Panda Sign:*
  On a Gallium-67 citrate _scan, uptake in the lacrimal and salivary glands gives the appearance of a panda. This is suggestive of sarcoidosis._

*🖍Parallel Track Sign:*
  _Pattern of uptake that may be seen on bone scan in patients with hypertrophic osteoarthropathy._

*🖌Pear-Shaped Bladder:*
  _Bladder assumes the shape of a pear when it undergoes extrinsic compression due to excess tissue in the pelvis._

*🖍Pearl Necklace Sign:*
  _MRI sign that may be seen with adenomyomatosis._

*🖌Pencil In Cup Deformity:*
  _Erosion pattern of digits that may be seen in patients with psoriatic arthritis._

_Bone density normal. Sausage digits._

*🖍Picture Frame Vertebral Body:*
  _Thicken cortex of vertebral bodies that may be seen in patients with Paget disease. Cotton wool (skull).  Blade of grass (long bones)._

*🖌Picket Fence:*
  _Appearance of bowel that may be seen on small bowel series with Whipple disease or gastrointestinal amyloidosis._

*🖍Pistol Grip Deformity:*
  _Appearance of the proximal femur that may be seen with cam type femoroacetabular impingement._

*🖌Pine Tree Bladder/Christmas Tree :*
  _Neurogenic bladder (Elongated bladder with reflex in ureter, trabelculations)._

*🖍Playboy Bunny Sign:*
  _US sign of the appearance of the confluence of the hepatic veins opening with the IVC. (liver) Normal appearance._

*🖌Polka-Dot Pattern:*
  _Appearance of thickening trabeculations seen in intraosseous hemangiomas of the spine. See also Corduroy appearance._

*🖍Porcelain Gallbladder:*
 _Calcification of the gallbladder wall._

*🖌Popcorn Appearance:*
  _Chest x Ray - Hemartoma._
  _Mammogram- Fibroadenoma._
  _Brain- Cavernous Angioma._

*🖍Putty Kidney/Cement Kidney:*
  _Appearance that may be seen with end-stage renal tuberculosis._

*🖌Reversal Sign:*
  _Hypoxic ischaemic Encephalopathy- asphyxia during birth.  CT sign of anoxic brain injury where gray matter is lower in attenuation that white matter (the opposite is normal)._

*🖍Reversed Halo Sign:*
  _Relatively specific sign of pulmonary nodules in cryptogenic organizing pneumonia._

*🖌Ribbon Bowel:*
  _Appearance of bowel that may be seen on barium studies in graft versus host disease._

*🖍Ribbon Ribs:*
  _Appearance of ribs that may be seen with neurofibromatosis 1._

*🖌Rice Kernel:*
  _CT appearance that may be seen with dacryolithiasis._

*🖍Rigler's Sign - Supine Film:*
  _Also in football sign._
_Falciform ligament sign,  Sign of pneumoperitoneum where both sides of a loop of bowel are outlined by air._
CT scan
X-ray (70%)

*🖌Rim Sign:*
  _On cholescintigraphy, increased uptake is seen in the region of the gallbladder fossa. Sign is specific for acute cholecystitis._

*🖍Ring Of Fire Sign:*
  _US finding. Hypervascular ring in the adnexa that may be seen with either ectopic pregnancy or corpus luteum._

*🖌Ring Sign:*
 _CT sign of epiploic appendagitis._

*🖍Rosary Sign:*
   _CT sign that may be seen with adenomyomatosis._

*🖌Rugger Jersey Spine Sign:*
  _Appearance of spine that may be seen with hyperparathyroidism._

*🖌S Sign of Golden:*
  _Right upper lobe atelectasis created by a central mass. Should raise the suspicion of a central neoplasm.- bronchogenic cancer._

*🖍Saber-Sheath Trachea:*
  _Appearance of trachea that may be seen with COPD._

*🖌Saber Shin:*
  _Appearance of tibia that may be seen with congenital syphilis._

*🖍Sandstorm Appearance:*
  _Appearance of lungs that may be seen in pulmonary alveolar microlithiasis. (Congenital condition)._

*🖌Salt & Pepper Pattern:*
 _Flow voids seen in glomus tumors._

*🖍Salt & Pepper Skull- Xray:*
  _Appearance of skull that may be seen in patients with hyperparathyroidism.? (Paraganglionoma-MRI-b.v.)_

*🖌Sandwich Sign:*
  _Bulky lymphoma encasing mesenteric vessels._

*🖍Sandwich Deformity:*
  _Sclerotic endplates that may be seen with osteopetrosis._

*🖌Sausage Digit:*
  _Soft tissue swelling of digits in patients with psoriatic arthritis._

_(Acute osteomyelitis- soft tissue swelling or blurring of fat)_

*🖍Scimitar Sign:*
  _MRI appearance that may be seen with eccentric cystic adventitial disease._

*🖌Scottie Dog:*
  _On oblique radiographs, the posterior elements form the appearance of a Scottie dog. Spondylolysis can have the appearance of a collar around the neck._

*🖍Shepard's Crook Depresent. (ground glass appearance):*
  _Proliferation of woven bone, Appearance of proximal femur that may be seen with fibrous dyplasia._
_Bone scan- HOT._

*🖌Shoulder Sign:*
  _Appearance of hypertrophic pyloric stenosis that may be seen on upper GI series._

*🖍Signet Ring Sign (Chest):*
  _Sign of bronchiectasis._
_Best investigation- ILD, Bronchiectasis, Miliary tb.(Tramtrack app, bunch of grapes- cystic)._

*🖌Signet Ring Sign (GU):*
 _Sign of papillary necrosis on IVU._

*🖍Small Heart Sign:*
  _Sign of tension pneumopericardium.(Pneumomediastinum- above aorta)._

*🖌Snowman:*
  _Appearance of heart that may be seen with supracardiac total anomalous pulmonary venous return._

*🖍Snowstorm Pattern (breast):*
  _US pattern for breast implant rupture._

*🖌Snowstorm Pattern (Ob/gyn):*
(black n white)
  _US pattern for a molar pregnancy._

*🖍Soft-tissue Rim Sign:*
  _Appearance of a ureteral edema surrounding a calculus. Helps differentiates a calculus from a phlebolith._

*🖌Spade Shape:*
  _Shape of tufts that may be seen with acromegaly._

*🖍Spalding Sign:*
  _Overlapping cranial sutures. Sign of fatal demise on prenatal ultrasound._

*🖌Spider Web:*
  _Appearnace of collateral vessels that may be seen on hepatic venography in Budd-Chiari syndrome._

*🖍Spinnaker Sail Sign:*
  _Elevation of the thymus by air that may be seen with pneumomediastinum. Continuous diaphragm sign also present._

*🖌Split Pleura Sign:*
 _CT sign of thoracic empyema._

*🖍Spoke Wheel:* enhancement pattern (GU)
  _May be seen with oncocytomas._

*🖌Spoke Wheel:* enhancement pattern (GI)
  _May be seen with focal nodular hyperplasia._

*🖍Spokewheel Sign:* (GI) - Pattern of mesentery.
  _May be seen with small bowel volvulus._

*🖌Starry Sky- Liver - Portal Vein:*
  _US appearance that may be seen with acute hepatitis._

*🖍Steeple Sign:*
  _Appearance of narrowing of the subglottic tracheal lumen that may be seen with croup._

*🖌Stepladder Sign:*
  _US sign that may be seen in patients with intracapsular breast implant rupture._

*🖍Straight Line Sign:*
  _PET sign of peritoneal carcinomatosis._

*🖌Strawberry skull:*
  _Appearance of skull that may be seen on fetal US with Trisomy 18._

*🖍String Of Beads:*
 - in renal artery and chronic pancreatitis (chain of lakes)
  _Appearance of multiple stenosis that mMulvey-seen in patients with fibromuscular dysplasia._
_Also small bowel obstruction !_

*🖌String Sign Of Pylorus Stenosis:*
  _Appearance of congenital hypertrophic pyloric stenosis that may be seen on upper GI series._
*_Kantor-Crohns TB_*

_Also pseudobilroth app- crohn's_

*🖍Stripe Sign:*
_On a V/Q scan_
  _Subpleural activity in a region of decreased pulmonary perfusion. Sign is used to rule out pulmonary embolism._

*🖌Superior Triangle Sign:*
  _Sign that may be seen with right lower lobe atelectasis._

*🖍Talar Beak:*
  _Sign of talocalcaneal tarsal coalition._

*🖌Tau Sign:*
  _MRI sign of a persistent trigeminal artery._

*🖍Telephone Receiver Shaped Femora:*
  _Appearance of femora that can be seen with thanatophoric dysplasia. (Dwarfism)._

*🖌Terry Thomas Sign:*
  _Sign of scapholunate ligament disruption (also see David Letterman sign)._

*🖍Throckmorton's Sign:*
  _The penis points to the pathology._

*🖌Thumb Sign:*
  _Classic lateral radiographic finding for epiglotitis. (Swollen)._

*🖍Thumb Printing:*
 _Sign of bowel wall thickening seen with entities such as ischemic bowel, diverticulitis, Crohn's disease, and ulcerative colitis._

*🖌Tip Of The Iceberg Sign:*
  _Ultrasound sign that may be seen with mature cystic teratomas._

*🖍Tit Sign:*
  _Appearance of hypertrophic pyloric stenosis that may be seen on upper GI series._

*🖌Tram-Track Sign:*
(chest)
  _Sign of bronchiectasis._

*🖍Tram-Track Sign:*
(neuro)
  _Sign of optic nerve meningioma._

*🖌Tram-Track Sign:*
(neuro)
  _Appearance of cortical calcifications that may be seen with Sturge-Weber syndrome._

*🖍Tram-Track Sign:*
(nucs)
  _Bone scan finding that may be seen with hypertrophic osteoarthropathy._

*🖌Tree In Bud:*
  _Nonspecific pulmonary pattern seen on thin-section computed tomography. (Tuberculosis, immunocompromised- pneumocystis carinii)._

*🖍Trident Hand:*
  _Appearance of hands that may be seen with achondroplasia._

*🖌Trough Line Sign:*
  _In posterior shoulder dislocation, frontal radiographs reveal two nearly parallel lines in the superomedial aspect of the humeral head._

*🖍Candle Guttering:*
  _Tuberous Sclerosis._

*🖌Supependymal Calcification:*
giant cell astrocytoma (foramen of monro)
   _Lung app- honeycomb._
  _Heart- rhabdomyoma._

*🖍Umbrella Sign:*
  _Sign of a ruptured globe._

*🖌Wall-Echo-Shadow Sign (WES):*
  _Sign of chronic cholelithiasis on US when the gallbladder is filled with calculi. (GB not seen- due to fibrosis). _

*🖍Waterlily Sign:* contained (endocyst) rupture-chest xray
  _Sign of hydatid cyst._

*🖌Watering Can Perineum:*
  _Sign of fistula formation secondary to periurethral abscess._

*🖍Wave Sign Of Mulvey:*
 _Sign produced by lateral indentation of thymus by adjacent anterior ribs. This sign in seen in the pediatric population and represents a normal thymus._

*🖌Whirlpool Sign:*
  _US sign of midgut volvulus in a neonate._

*🖍Wimberger's Ring Sign:*
  _A circular, opaque radiologic shadow surroundsing epiphyseal centers of ossification in patients with scurvy._

*🖌Wimberger's Sign:*
  _Symmetrical lesions (eroded) seen in the proximal tibial medial metaphysis in patient's with congenital syphilis._

*🖍Westermark's Sign:* (focal) - IOC- Multi slice CT preferred.
  _Regional pulmonary oligemia secondary to pulmonary embolism. (Palla's- descending right pulmonary artery dilation)._

*🖌Winking Owl Sign:* - xray- vertebrae mets
  _Absent winking sign- DVT compression Usg Hampton's sign, usually normal X-ray)._

*🖍Yin-Yang Sign:*
  _Swirling blood flow pattern within a pseudoaneurysm._

*🖌Yo-Yo On A String Sign:*
 _MRI appearance of a Stener lesion. (see Gamekeeper thumb)._