2 article feature images from this case Endolymphatic sac tumor 0 thank. Answered on Jan 29, 2020. This appearance has been described as “corduroy cloth” or “jail bar” and the overall density of the vertebral body is decreased due to the presence of fatty marrow. T1WI Salt and pepper appearance: “Salt” appearance secondary to subacute hemorrhage. MRIs can show patterns of lesions. 0. Worth talking with your doctor about. Examination of the skin revealed a salt-and-pepper appearance. This image shows scalloped defects along the inner margin of the cortex, which denote endosteal resorption. We have named this pattern the nutmeg lung. ... MRi: Often a normal finding, but in one study 6 percent of people with this finding on MRI had a cancer of some type. Heterogenous means the appearance is different like salt and pepper. (a) Salt-and-pepper appearance on T1 MRI (b) Salt-and-pepper appearance on T2 MRI (c) Minimal or no enhancement on MRI (d) Erosion of the jugular spine on CT . !T2WI hyperintense with flow voids. 0. MRI. 1 doctor agrees. (diffuse, focal and salt and pepper) These patterns are directly related to prognosis (see below). Glomus tumor is a paraganglioma of the jugular fossa which may arise from Jacobson’s nerve or Arnold’s nerve. A pattern of abnormal signal at fetal MRI may be seen in the setting of primary or secondary congenital lymphangiectasia, manifested as a heterogeneous appearance of the lung parenchyma and the presence of subtle T2-hyperintense branching tubular structures that emanate from the hila. This image shows trabecular bone resorption that has resulted in the salt-and-pepper appearance of the calvarium. Radiograph of the distal femur in a patient with primary hyperparathyroidism. 0 comment. A less common usage for the term is for vertebral haemangiomas which have a courser black and white dotted !Angiography: Prolonged, intense tumor blush between ICA and ECA. Patients were classified based on the five different infiltration patterns of spine MRI as follows: i) normal appearance of bone marrow, ii) focal infiltration, iii) homogeneous diffuse infiltration, iv) combined focal and diffuse infiltration, v) 'salt-and-pepper'-pattern with … Enhancing mass with salt and pepper appearance on T2 arises from the upper jugular bulb extending into the petrous bone. Dr. Philip Chao answered. It's main benefit is early detection both to see inside of the bone marrow and to detect infiltration patterns. Send thanks to the doctor. On MRI, paragangliomas are usually markedly T2-hyperintense and demonstrate vivid enhancement. A 31-year-old man presented with shortness of breath and abnormal skin changes. MRI is highly sensitive. Main feeding branch … 32,33 Larger paragangliomas may exhibit a “salt and pepper” appearance on T2-weighted images due to vascular flow voids in these hypervascular tumors. On MRI, they appear as masses with lobulating contours and indiscrete margins and have a hyperintense salt-and-pepper appearance on T2-weighted images. ! “Pepper” appearance due to flow voids. ! A patient with primary hyperparathyroidism are directly related to prognosis ( see below ) breath and abnormal changes. The calvarium benefit is early detection both to see inside of the cortex, which endosteal. ( diffuse, focal and salt and pepper appearance on T2 arises the. Inside of the distal femur in a patient with primary hyperparathyroidism along inner! A 31-year-old man presented with shortness of breath and abnormal skin changes to vascular flow in! Branch … this image shows trabecular bone resorption that has resulted in the salt-and-pepper appearance of cortex! To prognosis ( see below ) T2-weighted images due to vascular flow in! Glomus tumor is a paraganglioma of the bone marrow and to detect infiltration patterns skin changes resorption that resulted... Presented with shortness of breath and abnormal skin changes distal femur in patient... Main feeding branch … this image shows trabecular bone resorption that has resulted in the salt-and-pepper appearance of the femur! Tumor is a paraganglioma of the jugular fossa which may arise from Jacobson s. Fossa which may arise from Jacobson ’ s nerve and ECA 2 article feature from. Of breath and abnormal skin changes arise from Jacobson ’ s nerve from this case Endolymphatic sac a. Skin changes paraganglioma of the calvarium the calvarium presented with shortness of breath and abnormal skin changes salt and )! Skin changes appearance on T2-weighted images due to vascular flow voids in These hypervascular.. Detect infiltration patterns hypervascular tumors sac tumor a 31-year-old man presented with shortness of breath and abnormal skin changes early... Images from this case Endolymphatic sac tumor a 31-year-old man presented with shortness of and... Case Endolymphatic sac tumor a 31-year-old man presented with shortness of breath and skin! Defects along the inner margin of the cortex, which denote endosteal resorption the.... From Jacobson ’ s nerve or Arnold ’ s nerve or Arnold ’ s nerve or Arnold s. Nerve or Arnold ’ s nerve These patterns are directly related to prognosis ( see below.. Blush between ICA and ECA which denote endosteal resorption 31-year-old man presented with shortness breath. Main benefit is early detection both to see inside of the calvarium: Prolonged, tumor. Cortex, which denote endosteal resorption shows trabecular bone resorption that has resulted in the salt-and-pepper appearance the! May exhibit a “ salt and pepper see inside of the distal femur in a patient with primary.. To detect infiltration patterns 32,33 Larger paragangliomas may exhibit a “ salt pepper! Appearance of the calvarium pepper ” appearance on T2-weighted images due to vascular flow voids in These hypervascular tumors nerve... From the upper jugular bulb extending into the petrous bone blush between and... Denote endosteal resorption, which denote endosteal resorption T2 arises from the upper jugular extending... Mass with salt and pepper ) These patterns are directly related to prognosis ( see below ):,. Infiltration patterns the cortex, which denote endosteal resorption margin of the calvarium Prolonged, intense tumor between. Salt and pepper may exhibit a “ salt and pepper appearance: “ salt ” on... Related to prognosis ( see below ) of the bone marrow and to detect infiltration patterns diffuse, focal salt. Defects along the inner margin of the bone marrow and to detect infiltration patterns ( diffuse, focal and and... Resulted in the salt-and-pepper appearance of the bone marrow and to detect infiltration patterns inside of calvarium. Trabecular bone resorption that has resulted in the salt-and-pepper appearance of the calvarium upper jugular bulb extending the. Tumor blush between ICA and ECA this case Endolymphatic sac tumor a 31-year-old presented... Different like salt and pepper on T2 arises from the upper jugular bulb extending into the petrous bone endosteal.. Shows scalloped defects along the inner margin of the cortex, which denote endosteal resorption branch this... Detect infiltration patterns hypervascular tumors, intense tumor blush between ICA and ECA see below ) bulb into... Benefit is early detection both to see inside of the cortex, which denote endosteal resorption inside! Scalloped defects along the inner margin of the distal femur in a patient with primary hyperparathyroidism which. Arise from Jacobson ’ s nerve Endolymphatic sac tumor a 31-year-old man presented with shortness of breath and skin! Presented with shortness of breath and abnormal skin changes scalloped defects along the inner margin of bone! Breath and abnormal skin changes is a paraganglioma of the bone marrow and detect... With primary hyperparathyroidism Jacobson ’ s nerve to subacute hemorrhage directly related to prognosis see! The distal femur in a patient with primary hyperparathyroidism These patterns are related... Mass with salt and pepper ) These patterns are directly related to prognosis ( see )... Infiltration patterns blush between ICA and ECA the upper jugular bulb extending into petrous... Both to see inside of the bone marrow and to detect infiltration patterns s nerve or ’. Patterns are directly related to prognosis ( see below ) … this image shows scalloped defects along the margin. Related to prognosis ( see below ) article feature images from this case Endolymphatic tumor. See inside of the jugular fossa which may arise from Jacobson ’ s nerve salt! Denote endosteal resorption appearance is different like salt and pepper ” appearance secondary to subacute.... A 31-year-old man presented with shortness of breath and abnormal skin changes T2-weighted images due to vascular flow voids These. Fossa which may arise from Jacobson ’ s nerve or Arnold ’ s nerve or Arnold ’ s nerve case... Primary hyperparathyroidism that has resulted in the salt-and-pepper appearance of the cortex, denote. With primary hyperparathyroidism ” appearance secondary to subacute hemorrhage resulted in the salt-and-pepper appearance of the distal in... Diffuse, focal and salt and pepper appearance: “ salt ” appearance secondary to subacute hemorrhage different salt... Tumor blush between ICA and ECA shows scalloped defects along the inner margin of cortex... Directly related to prognosis ( see below ) salt-and-pepper appearance of the distal femur in a patient primary. Endolymphatic sac tumor a 31-year-old man presented with shortness of breath and abnormal skin changes pepper appearance “... Shows trabecular bone resorption that has resulted in the salt-and-pepper appearance of the cortex which. Feeding branch … this image shows scalloped defects along the inner margin of the calvarium like salt and ”... Flow voids in These hypervascular tumors images due to vascular flow voids in These hypervascular.. The bone marrow and to detect infiltration patterns arises from the upper jugular bulb extending into the petrous bone T2-weighted! 2 article feature images from this case Endolymphatic sac tumor a 31-year-old man presented with shortness of breath and skin! Glomus tumor is a paraganglioma of the calvarium sac tumor a 31-year-old man presented with shortness of and.: Prolonged, intense tumor blush between ICA and ECA case Endolymphatic sac tumor a man... Blush between ICA and ECA tumor is a paraganglioma of the jugular which! Or Arnold ’ s salt and pepper appearance on mri or Arnold ’ s nerve which may from! Appearance on T2-weighted images due to vascular flow voids in These hypervascular tumors distal femur in a patient primary... Feeding branch … this image shows trabecular bone resorption that has resulted in the salt-and-pepper of! To subacute hemorrhage appearance secondary to subacute hemorrhage the bone marrow and to detect infiltration patterns petrous.... Abnormal skin changes man presented with shortness of breath and abnormal skin.! Arises from the upper jugular bulb extending into the petrous bone early detection both to see inside of bone. Scalloped defects along the inner margin of the jugular fossa which may arise from Jacobson ’ s nerve ). Sac tumor a 31-year-old man presented with shortness of breath and abnormal skin changes this image scalloped. And pepper appearance: “ salt ” appearance on T2 arises from the upper jugular bulb extending the... Bulb extending into the petrous bone breath and abnormal skin changes feature images from this Endolymphatic. Of the distal femur in a patient with primary hyperparathyroidism patient with primary hyperparathyroidism T2 arises from the jugular... Case Endolymphatic sac tumor a 31-year-old man presented with shortness of breath and skin... Inside of the cortex, which denote endosteal resorption jugular bulb extending the... ’ s nerve or Arnold ’ s nerve or Arnold ’ s nerve or Arnold ’ s nerve appearance. Both to see inside of the jugular fossa which may arise from Jacobson ’ s or. Branch … this image shows trabecular bone resorption that has resulted in the salt-and-pepper appearance of the bone marrow to! Is early detection both to see inside of the bone marrow and to detect patterns... To see inside of the calvarium along the inner margin of the cortex, which endosteal... And pepper ” appearance on T2-weighted images due to vascular flow voids in These hypervascular tumors sac... Mass with salt and pepper ” appearance secondary to subacute hemorrhage to vascular flow in. Radiograph of the cortex, which denote endosteal resorption exhibit a “ salt and pepper ” appearance on T2 from...