USMLE Step 1 Radiology buzzwords - USMLE Forums

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USMLE Step 1 Buzzwords Buzzwords that should ring a bell in USMLE Step 1 exam

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axax
USMLE Forums Scout USMLE Step 1 Radiology buzzwords

Steps History: Not yet Posts: 19 Threads: 1 Thanked 35 Times in 12 Posts Reputation: 45

Apple Core lesion signifies annular carcinomas of the colonlooks like an apple core or napkin ring(see below) due to circumferential narrowing of the lumen, noted on contrast studies.

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Bamboo Spine fused spinal segments with their syndesmophytes look, on radiographs, similar to bamboo stalksclassically associated with ankylosing spondylitis.

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Bird's Beak noted on Upper GI with contrast, a dilated upper/middle esophagus with an abrupt taper to exceptionally narrowed lumen, typical of achalasia.

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Boot-shaped Heart due to RVH, the LV is lifted above the edge of the diaphragm, forming the toe of the boot. Classic for Tetralogy of Fallot.

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USMLE Step 1 Radiology buzzwords - USMLE Forums

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Bat's Wing/Butterfly this appearance on CXR is classically associated with CHF and resultant pulmonary edema. Cobblestone appearance this sign is produced on barium studies due to ulcerative pockets, usually in the terminal ileum, indicative of Crohn's.

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Codman's Triangle a triangle on plain film of extremities that signifies reactive bone, classically associated with osteosarcoma, or other infectious/hemorrhagic process that causes periosteal elevation.

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Coin lesion solitary pulmonary nodule; may be cancer or granuloma. Cutter lesions metastatic lesions to bone cortex, or Paget's.

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Crescent sign classic sign of avascular necrosis, femoral head.

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Egg-on-a-string a large, ovoid-shaped heart on newborn CXR, classically signifying complete transposition of the great vessels with intact ventricular septum.

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Ground glass a white-out on CXR, usually PCP pneumonia or ARDS.

Hampton's Hump a peripheral triangle, usually near pleural edges, classically PE.

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USMLE Step 1 Radiology buzzwords - USMLE Forums

http://www.usmle-forums.com/usmle-step-1-buzzwords/10015-usmle-ste...

Honeycomb lung used to describe any pathologic process that causes radiographic appearance of multiple small, thick-walled cystic spaces; e.g. pulmonary fibrosis. Lead pipe sign classic narrowing of bowel lumen, with loss of haustraUC.

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Napkin Ring sign see Apple core lesion above; pathology identical, but lumen more narrowed. Onion-skinning layered look of periosteum in Ewing's Sarcoma.

Rachitic Rosary this is a string of beads appearance on x-ray, a thickening of costochondral margins that is noted in Ricketts(Vit. D Deficiency).

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Sail sign (elbow) fat pad noted on plain film, indicative of elbow disclocation.

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Sail Sign (Chest X ray) Thymic shadow in children seen in chest X ray.

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Scotty dog(collar) on posterior oblique, the lumbar vertebrae look like a Scottish terrier. The neck is the pars interarticularis, and a break(a collar) noted there indicates spondylolysis.

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String sign thin, slightly irregular shadow in narrowed lumen of ileum, suggestive of Crohn's.

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Silhouette sign obliteration of cardiovascular silhouette due to adjacent disease, ie pneumonia, TB, etc.

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USMLE Step 1 Radiology buzzwords - USMLE Forums

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Stepladder appearance distended bowel loops, often indicative of obstruction, usually SBO.

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Sunburst appearance clouds, clumps, and consolidated rays of tissue emanating from bone cortex, or within bony structures, indicative of osteosarcoma.

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Thumb(print) sign on lateral c-spine, an enlarged epiglottis appears as a thumbepiglottitis. Westermark's sign abrupt end to a pulmonary vessel, signifying oligemia or PE.

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Thanx to Myeng If you know any more, please add to the list Merge Notice: This post is a merger of two posts; the second post contained images posted by Hohepa Last edited by StepTaker; 5 Days Ago at 06:08 PM. Reason: adding merge notice

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earthpole
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WOW..it is really helpful!!

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