0. Radiograph of the distal femur in a patient with primary hyperparathyroidism. This image shows trabecular bone resorption that has resulted in the salt-and-pepper appearance of the calvarium. Worth talking with your doctor about. A 31-year-old man presented with shortness of breath and abnormal skin changes. 32,33 Larger paragangliomas may exhibit a “salt and pepper” appearance on T2-weighted images due to vascular flow voids in these hypervascular tumors. It's main benefit is early detection both to see inside of the bone marrow and to detect infiltration patterns. Main feeding branch … 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. 1 doctor agrees. ! Enhancing mass with salt and pepper appearance on T2 arises from the upper jugular bulb extending into the petrous bone. 0 comment. This image shows scalloped defects along the inner margin of the cortex, which denote endosteal resorption. “Pepper” appearance due to flow voids. 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. !Angiography: Prolonged, intense tumor blush between ICA and ECA. On MRI, paragangliomas are usually markedly T2-hyperintense and demonstrate vivid enhancement. (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 . (diffuse, focal and salt and pepper) These patterns are directly related to prognosis (see below). 0. Heterogenous means the appearance is different like salt and pepper. Glomus tumor is a paraganglioma of the jugular fossa which may arise from Jacobson’s nerve or Arnold’s nerve. MRIs can show patterns of lesions. MRI is highly sensitive. !T2WI hyperintense with flow voids. We have named this pattern the nutmeg lung. 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 … ... MRi: Often a normal finding, but in one study 6 percent of people with this finding on MRI had a cancer of some type. Examination of the skin revealed a salt-and-pepper appearance. 0 thank. Send thanks to the doctor. T1WI Salt and pepper appearance: “Salt” appearance secondary to subacute hemorrhage. 2 article feature images from this case Endolymphatic sac tumor Dr. Philip Chao answered. ! 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