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