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Musculoskeletal Imaging

E2923. Hungry-Hungry Radiologists: Imaging Characteristics of Food-Related Musculoskeletal Radiologic Signs

Handler M,  Sosin S,  Ngo A,  Kriger L,  Scherer K. Atlantic Health System, Morristown Medical Center, Morristown, NJ

Address correspondence to M. Handler (

Background Information: Pattern recognition of classic food-related signs is an important tool in any radiologists’ arsenal. The purpose of this presentation is perform a case-based review of a variety of musculoskeletal radiologic signs associated with food, and to discuss their etiologic factors and clinical importance.

Educational Goals/Teaching Points: The goals of this exhibit are to recognize and become familiar with classic food-related signs on musculoskeletal imaging and review and understand the etiologic mechanisms of the diseases associated with these signs. We will also discuss the clinical importance of the diseases associated with food-related signs on musculoskeletal imaging.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques: The radiographic, CT, or MRI characteristics of the following diagnoses will be discussed: head (salt and pepper calvarium), spine (pancake vertebra, sandwich vertebra, hamburger sign, vertebral scalloping), arm (sausage digit, spilled teacup [piece of cheese lunate], licked candy stick appearance, dinner fork deformity), pelvis (champagne glass pelvis), femur (banana fracture, bite sign), knee (celery stalk anterior cruciate ligament), and others (onion skin periostitis, celery stalk metaphysis, rice grains, and rice bodies).

Conclusion: After completing this educational exhibit, the reader will be able to recognize food-related imaging findings of certain musculoskeletal disease entities. This will help to narrow the differential and will aid in diagnosis.