Articles

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29 results found
Article

Ring of fire sign (adnexa)

The ring of fire sign, also known as ring of vascularity, signifies a hypervascular lesion with peripheral vascularity on color or pulsed Doppler examination of the adnexa due to low impedance high diastolic flow 1. This sign can be seen in: corpus luteum cyst (more commonly) ectopic pregnancy
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

Cogwheel sign

The cogwheel sign refers to the pelvic imaging appearance of dilated loops of fallopian tube seen in cross-section. It represents infolding projections (sometimes looking like nodules) into the fallopian tube lumen which are likened to that of a cogwheel. The sign is typically described on ultra...
Article

Tubal ring sign

The tubal ring sign, also referred to as a bagel sign or blob sign, is one of the ultrasound signs of a tubal ectopic pregnancy. It comprises an echogenic ring that surrounds an unruptured ectopic pregnancy. It is said to have a 95% positive predictive value (PPV) for ectopic pregnancy. Differe...
Article

Venetian blind appearance (uterus)

The Venetian blind (a.k.a. rain shower 2) appearance is a sonographic finding that is typically associated with adenomyosis but can also occur in uterine fibroids. The Venetian blind appearance associated with adenomyosis is typically "thin" whereas when associated with uterine fibroids, there a...
Article

Dot dash pattern (ovarian dermoid cyst)

The dot-dash pattern (dermoid mesh) is one of the characteristic sonographic appearances of an ovarian dermoid cyst. It refers to the short and long echogenic lines which are often seen within a dermoid cyst and are due to the presence of hair.
Article

String of pearls sign (ovary)

The string of pearls (or beads) sign in the ovary is the ultrasound sign of multiple small (<5 mm) follicles peripherally located in the gonad. It is typically seen in polycystic ovaries, and is thought to represent abnormal accumulation of immature follicles. This morphologic appearance howeve...
Article

Waist sign hydrosalpinx

The waist sign arises from the folding of a distended tube upon itself producing indentations on diametrically opposite sides. The waist sign is specific for hydrosalpinx and virtually pathognomonic when seen in association with a tubular-shaped cystic mass. See also cogwheel sign beads on a ...
Article

Snowstorm sign (disambiguation)

Snowstorm sign may refer to: snowstorm sign: complete hydatiform mole (ultrasound) snowstorm sign: extracapsular breast implant rupture (ultrasound) snowstorm sign: thyroid pulmonary metastases (chest radiograph)
Article

Tip of the iceberg sign (ovarian dermoid cyst)

Tip of the iceberg sign refers to one of the characteristic appearances of an ovarian dermoid cyst. If there are echogenic cyst contents of sebum and hair, they cause marked posterior acoustic attenuation so that only the superficial part of the cyst is seen. Just like an iceberg, you may only b...
Article

Pseudodysraphism

A pseudodysraphism refers to the splayed appearance of a normal spine created due to excessive craniocaudal angulation during sonographic evaluation. This can erroneously lead to the diagnosis of a spinal neural tube defect.
Article

Shading sign (endometrioma)

Shading sign is an MRI finding typically seen in an endometrioma. It may also be seen with some endometrioid tumors (e.g. endometrioid carcinoma of the ovary) and uncommonly other blood-containing lesions (e.g. hemorrhagic corpus luteum cysts). The sign is seen on T2-weighted sequences of lesio...
Article

Shortening of the cervical canal

Shortening of the uterine cervical canal as the name implies refers to an abnormal shortening of the uterine cervical length. It is considered a sign of cervical incompetence during pregnancy and can lead to premature delivery. Pathology Etiology primary (i.e. congenital/idiopathic) secondar...
Article

Funneling of the internal cervical os

Cervical funnelling is a sign of cervical incompetence and represents the dilatation of the internal part of the cervical canal and reduction of the cervical length. Greater than 50% funnelling before 25 weeks is associated with ~80% risk of preterm delivery. Radiographic features Good scanni...
Article

Bridging vessel sign

The bridging vessel sign refers to an appearance of vessels coursing from the uterus into an adjoining pelvic mass (a vascular bridge). This sign helps to differentiate a pedunculated subserosal uterine leiomyoma from other juxtauterine masses of ovarian, adnexal or bowel origin. Color and powe...
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

Sliding sign

The sliding sign is a dynamic sonographic sign performed during transvaginal ultrasound (TVS) of women with suspected pelvic endometriosis. The loss of the normal sliding sign indicates pouch of Douglas (POD) obliteration due to adhesions and is suggestive of deep infiltrating endometriosis (DIE...
Article

Pyrexia

Pyrexia (or fever) is a clinical sign, indicated by an abnormally elevated core body temperature, which is defined by several medical societies as ≥38.3°C (≥≈101°F). The temperature elevation may be persistent or episodic. If the body temperature is greater than 41.5°C - a rare phenomenon - it i...
Article

Popcorn calcification (disambiguation)

Popcorn calcification refers to amorphous calcifications often with rings and arcs that resemble popped corn kernels. This type of calcification may be seen in many radiological settings including 1: chondroid lesions (e.g. enchondroma, chondrosarcoma) fibrous dysplasia pulmonary hamartomas ...
Article

Beads on a string sign (chronic salpingitis)

The beads on a string sign is used to refer to the classic ultrasound morphologic changes of the fallopian tubes as a result of chronic salpingitis.    Terminology The "string" alludes to the notably thin salpingeal wall, while the hyperechoic mural nodules constitute the "beads" 1. Pathology...

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