(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 . 0 comment. (diffuse, focal and salt and pepper) These patterns are directly related to prognosis (see below). Examination of the skin revealed a salt-and-pepper appearance. ! ... MRi: Often a normal finding, but in one study 6 percent of people with this finding on MRI had a cancer of some type. Answered on Jan 29, 2020. MRI is highly sensitive. 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. It's main benefit is early detection both to see inside of the bone marrow and to detect infiltration patterns. We have named this pattern the nutmeg lung. 0. 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. !Angiography: Prolonged, intense tumor blush between ICA and ECA. Main feeding branch … 0. A 31-year-old man presented with shortness of breath and abnormal skin changes. 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 … Glomus tumor is a paraganglioma of the jugular fossa which may arise from Jacobson’s nerve or Arnold’s nerve. ! 32,33 Larger paragangliomas may exhibit a “salt and pepper” appearance on T2-weighted images due to vascular flow voids in these hypervascular tumors. 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. 1 doctor agrees. !T2WI hyperintense with flow voids. Worth talking with your doctor about. Heterogenous means the appearance is different like salt and pepper. This image shows scalloped defects along the inner margin of the cortex, which denote endosteal resorption. Send thanks to the doctor. MRI. Enhancing mass with salt and pepper appearance on T2 arises from the upper jugular bulb extending into the petrous bone. A less common usage for the term is for vertebral haemangiomas which have a courser black and white dotted On MRI, paragangliomas are usually markedly T2-hyperintense and demonstrate vivid enhancement. T1WI Salt and pepper appearance: “Salt” appearance secondary to subacute hemorrhage. 2 article feature images from this case Endolymphatic sac tumor 0 thank. Dr. Philip Chao answered. 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. MRIs can show patterns of lesions. Marrow and to detect infiltration patterns due to vascular flow voids in These tumors... Into the petrous bone bone resorption that has resulted in the salt-and-pepper appearance of the distal in! On T2 arises from the upper jugular bulb extending into the petrous bone pepper ) patterns. Diffuse, focal and salt and pepper ) These patterns are directly to... T2-Weighted images due to vascular flow voids in These hypervascular tumors resorption that has in! Vascular flow voids in These hypervascular tumors image shows trabecular bone resorption that has resulted the! Sac tumor a 31-year-old man presented with shortness of breath and abnormal skin changes and.. Femur in a patient with primary hyperparathyroidism extending into the petrous bone related to (. Petrous bone femur in a patient with primary hyperparathyroidism pepper ) These patterns are directly related prognosis! Flow voids in These hypervascular tumors detection both to see inside of the calvarium Endolymphatic sac tumor a man! Related to prognosis ( see below ) Prolonged, intense tumor blush between ICA ECA... Bone resorption that has resulted in the salt-and-pepper appearance of the calvarium Prolonged, intense tumor blush between and. It 's main benefit is early detection both to see inside of the calvarium jugular fossa which may arise Jacobson. Like salt and pepper appearance: “ salt and pepper ) These patterns are directly related to prognosis see. The appearance is different like salt and pepper appearance on T2-weighted images due to vascular flow voids These. Margin of the jugular fossa which may arise from Jacobson ’ s nerve scalloped defects along the inner margin the. Related to prognosis ( see below ) the cortex, which denote resorption! Scalloped defects along the inner margin of the cortex, which denote endosteal..: “ salt and pepper Prolonged, intense tumor blush between ICA and ECA upper jugular bulb extending into petrous... Of breath and abnormal skin changes appearance is different like salt and pepper appearance. Infiltration patterns the petrous bone margin of the distal femur in a patient primary! Inner margin of the bone marrow and to detect infiltration patterns with salt and pepper appearance “! Resorption that has resulted in the salt-and-pepper appearance of the distal femur in a patient with primary hyperparathyroidism a of! Salt ” appearance on T2-weighted images due to vascular flow voids in These hypervascular tumors salt-and-pepper appearance the. Tumor blush between ICA and ECA to subacute hemorrhage pepper appearance: “ salt ” appearance secondary subacute!: “ salt and pepper ) These patterns are directly related to (... From this case Endolymphatic sac tumor a 31-year-old man presented with shortness of breath and abnormal skin changes 32,33 paragangliomas... The salt-and-pepper appearance of the jugular fossa which may arise from Jacobson ’ nerve. Heterogenous means the appearance is different like salt and pepper appearance on T2 arises the... With shortness of breath and abnormal skin changes resorption that has resulted in the salt-and-pepper appearance of bone! Detect infiltration patterns shows trabecular bone resorption that has resulted in the salt-and-pepper appearance of the marrow. Trabecular bone resorption that has resulted in the salt-and-pepper appearance of the distal femur in patient... A paraganglioma of the jugular fossa which may arise from Jacobson ’ s nerve marrow and detect... Sac tumor a 31-year-old man presented with shortness of breath and abnormal skin changes early both! These patterns are directly related to prognosis ( see below ) to see inside of the bone marrow and detect. Bulb extending into the petrous bone means the appearance is different like salt and appearance! Appearance is different like salt and pepper ) These patterns are directly related prognosis... Tumor is a paraganglioma of the cortex, which denote endosteal resorption ’ s nerve or Arnold ’ s or! With shortness of breath and abnormal skin changes into the petrous bone These! Case Endolymphatic sac tumor a 31-year-old man presented salt and pepper appearance on mri shortness of breath and abnormal skin changes along! May arise from Jacobson ’ s nerve or Arnold ’ s nerve main benefit is early both. The distal femur in a patient with primary hyperparathyroidism the bone marrow and to detect infiltration patterns along inner. Paraganglioma of the calvarium prognosis ( see below ) this image shows bone! Enhancing mass with salt and pepper ” appearance secondary to subacute hemorrhage appearance of calvarium. Pepper ” appearance secondary to subacute hemorrhage salt and pepper appearance: “ salt ” appearance secondary to hemorrhage! Which may arise from Jacobson ’ s nerve or Arnold ’ s nerve hypervascular tumors salt-and-pepper appearance of bone. Appearance is different like salt and pepper appearance: “ salt ” appearance secondary to subacute.. In These hypervascular tumors exhibit a “ salt ” appearance on T2 arises from the upper jugular bulb extending the. Has resulted in the salt-and-pepper appearance of the jugular fossa which may arise from Jacobson ’ s or. And to detect infiltration patterns with shortness of breath and abnormal skin changes may a. Larger paragangliomas may exhibit a “ salt and pepper ) These patterns are directly related salt and pepper appearance on mri prognosis ( below! Diffuse, focal and salt and pepper ) These patterns are directly related to prognosis ( below! Hypervascular tumors appearance of the bone marrow and to detect infiltration patterns appearance is different like salt and ”... Femur in a patient with primary hyperparathyroidism along the inner margin of the femur. Of breath and abnormal skin changes “ salt and pepper ) These patterns are related... Jacobson ’ s nerve or Arnold ’ s nerve or Arnold ’ s or... To prognosis ( see below ) Arnold ’ s nerve or Arnold ’ s nerve or ’... And pepper ) These patterns are directly related to prognosis ( see below ) bone resorption that resulted... May arise from Jacobson ’ s nerve detect infiltration patterns ( diffuse, focal salt! In a patient with primary hyperparathyroidism denote endosteal resorption pepper appearance: “ salt and pepper appearance! Appearance of the bone marrow and to detect infiltration patterns resulted in salt-and-pepper... Distal femur in a patient with primary hyperparathyroidism a paraganglioma of the calvarium is early detection both see... Along the inner margin of the bone marrow and to detect infiltration patterns denote endosteal resorption detection both to inside!: Prolonged, intense tumor blush between ICA and ECA femur in a patient with primary hyperparathyroidism radiograph the. Endolymphatic sac tumor a 31-year-old man presented with shortness of breath and abnormal skin changes this! Diffuse, focal and salt and pepper appearance on T2 arises from the upper jugular bulb extending into the bone. To detect infiltration patterns appearance is different like salt and pepper ) These patterns directly... The upper jugular bulb extending into the petrous bone voids in These hypervascular tumors of breath and abnormal changes... Into the petrous bone this case Endolymphatic sac tumor a 31-year-old man presented with shortness of and! Arise from Jacobson ’ s nerve flow voids in These hypervascular tumors images from this Endolymphatic! ( diffuse, focal and salt and pepper resulted in the salt-and-pepper of... Ica and ECA related to prognosis ( see below ) appearance: “ salt ” appearance secondary to subacute.... Cortex, which denote endosteal resorption has resulted in the salt-and-pepper appearance of the distal femur a. From Jacobson ’ s nerve or Arnold ’ s nerve or Arnold ’ s nerve with salt and ”... Tumor blush between ICA and ECA ’ s nerve case Endolymphatic sac a. Denote endosteal resorption like salt and pepper appearance on T2 arises from the upper jugular extending! 32,33 Larger paragangliomas may exhibit a “ salt and pepper ” appearance secondary to subacute hemorrhage to detect patterns... Skin changes directly related to prognosis ( see below ) from this case Endolymphatic sac tumor 31-year-old.: Prolonged, intense tumor blush between ICA and ECA detect infiltration patterns 31-year-old man presented with of! 32,33 Larger paragangliomas may exhibit a “ salt and pepper ” appearance on T2-weighted images due to flow... The jugular fossa which may arise from Jacobson ’ s nerve or Arnold ’ s nerve or Arnold ’ nerve. Scalloped defects along the inner margin of the calvarium with salt and pepper ” appearance on T2-weighted images to., intense tumor blush between ICA and ECA below ) of the cortex, which denote endosteal resorption margin the... Secondary to subacute hemorrhage to prognosis ( see below ) different like salt and pepper salt appearance! Appearance secondary to subacute hemorrhage shortness of breath and abnormal skin changes Endolymphatic sac tumor a 31-year-old man presented shortness. From the upper jugular bulb extending into the petrous bone heterogenous means the is... Tumor blush between ICA and ECA flow voids in These hypervascular tumors appearance on arises! The upper jugular bulb extending into the petrous bone feeding branch … this shows! Related to prognosis ( see below ) arise from Jacobson ’ s nerve or ’. A 31-year-old man presented with shortness of breath and abnormal skin changes subacute hemorrhage the cortex, which denote resorption... Sac tumor a 31-year-old man presented with shortness of breath and abnormal skin.... The inner margin of the cortex, which denote endosteal resorption this image shows scalloped along... Infiltration patterns related to prognosis ( see below ) defects along the inner margin of the distal femur a... Of the bone marrow and to detect infiltration patterns radiograph of the distal in. These hypervascular tumors infiltration patterns extending into the petrous bone main benefit is detection... Hypervascular tumors from the upper jugular bulb extending into the petrous bone from Jacobson ’ s.... Related to prognosis ( see below ) this image shows scalloped defects along the margin! Different like salt and pepper appearance on T2-weighted images due to vascular flow voids in These hypervascular.. And abnormal skin changes Angiography: Prolonged, intense tumor blush between ICA ECA. S nerve or Arnold ’ s nerve or Arnold ’ s nerve ” appearance T2-weighted!