APPEARENCES

� Bird's Beak deformity of lower oesophagus -

Achalsia cardia (Barium Swallow)
� Rat tail tapering of lower
oesophagus - Carcinoma oesophagus (Barium
Swallow)
� Cork screw oesophagus-- Diffuse oesophageal
spasm (Barium Swallow)
� Commonest radiological
appearance of gastric carcinoma (in barium meal
follow through) is - filling defect in antrum / body of
stomach
� Trifoliate duodenum - Chronic duodenal ulcer
with scarring (Barium Meal)
� Hour Glass stomach - Peptic ulcer
� Cup & Spill / Cascade stomach - Volvulus of
stomach
� Constriction of transverse
duodenum - superior mesenteric artery syndrome
� Bull's eye lesion (in barium meal) -
Leiomyosarcoma
� Single-bubble appearance - pyloric stenosis
� Double-bubble sign--Duodenal atresia, duodenal
stenosis, annular pancreas
� Triple-bubble sign - Jejunal atresia
� Coffee bean sign--Strangulation of incompletely
obstructed loop of small intestine
� String of Beads - Small bowel obstruction
� Coiled spring appearance -
Intussusception
� Pincer-shaped ending in barium enema--
Intussusception
� Bird of Prey sign - Sigmoid
volvulus
� Moulage sign (flocculation of barium, with
mucosal thickening) -- malabsorption syndrome
� String sign of Cantor--Crohn's disease
� Pipe-stem appearance (Loss of Haustrations)-
Ulcerative Colitis (Barium Enema)
� Saw-tooth appearance and / or diverticula -
Diverticular disease /Diverticulosis (Barium Enema)
� Scalloping of edge of sigmoid colon on barium
enema - Ulcerative colitis
� Napkin ring sign - Annular
carcinoma of colon
� Porcelain gall bladder -
Carcinoma of gall bladder
� Pad sign - Carcinoma pancreas (Barium Meal)
ERCP
� Scrambled Egg appearance - Carcinoma of
pancreas
� Chain of Lakes appearance - Chronic pancreatitis
� Double duct sign - Carcinoma of Pancreas
� Meniscus sign -- Choledocholithiasis

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