Radiological features

Lesion/ Condition	Radiological appearance
Acute osteomyelitis	Moth eaten radiolucency
Aneurysmal bone cyst	Honeycomb or soap bubble appearance
Apert’s syndrome	Skull  radiograph“ Beaten metal” pattern
Calcifying epithelial odontogenic tumor	Driven snow appearance
Cemento-osseous dysplasia	Cotton wool radiopacities
Central Hemangioma	Honey combed or sunburst or cotton wool appearance
Cherubism	Ground glass appearance; Floating teeth syndrome
Chronic diffuse sclerosing osteomyelitis	Cotton wool appearance/ Mosaic paatern
Coronal  dentin dysplasia	Thistle tube appearance
Crouzon syndrome	Skull  radiograph“ Beaten metal” pattern
Dentinogenesis imperfecta – 2	Shell teeth
Ewing’ s sarcoma	Onion skin appearance; sunray appearance rarely
Fibrous dysplasia	Ground glass appearance; Rind sign
Garre’s osteomyelitis	Onion peel appearance
Gaucher's disease	Erlenmeyer flask deformity of distal femur
Gigantiform cementoma	Cotton wool radio-opacities
Globulomaxillary cyst	Pear shaped radiolucency between maxillary lateral incisor and canine
Gradner syndrome	Cotton wool radio-opacities
Hemangioma	Hair on end or crew cut appearance
Hyperparathyroidism	Partial loss of lamina dura; Ground glass appearance of bone
Hypophosphatasemia	Metaphyses of long bone show spotty or streaky or irregular ossifications
Meningioma	Hair on end or crew cut appearance
Multiple myeloma	Punched out areas of radiolucency;
Nasopalatine duct cyst	Heart shaped radiolucency between roots of maxillary central incisors
Odontogenic myxoma	Honey comb / Mottled appearance
Osteomalacia	Looser’s zone pseudofracture line
Osteopetrosis	Vertebrae- Rugger-Jersey pattern; Ribs - Endo bone (Bone with in bone )pattern; roots are not easily distinguishable from adjacent bone
Osteosarcoma	Intramedullary parts appears as cumulus cloud densities; sunray/ sun burst pattern; widening of periodontal ligament; Codman’s triangle (periosteum raised like tent)
Paget's disease	osteoporosis circumscripta; Cotton wool appearance; hypercementosis; loss of lamina dura
Plasmacytoma	Hair on end or crew cut appearance
Primary Intraosseous Carcinoma	Moth eaten radiolucency
Pseudohypoparathyroidism	Chevron pulp
Psoriatic arthritis	Pencil cup appearance; opera glass deformity in joints
Regional odontodysplasia	Ghost teeth
Rickets	Muller’s line (Widened space @ the site of zone of preparatory calcification) Rachitic rosary- costochondral prominence
Scleroderma	Widening of lamina dura; bone resorption at angle, condyle or coronoid area
Scurvy & Chronic Vitamin C deficiency	Increased density @ end of long bones as white lines- “line of Frenkel”; Signet ring appearance of epiphyses; Zone of rarefaction around white lines- represents “Trummerfield zone” Sclerotic ring around epiphyses – “Winberger’ line” Metaphyseal corner fracture-  “Pelkan spur”
Severe iron deficiency in child hood	Hair on end or crew cut appearance
Sialdenosis (sialography)	Leafless tree
Sickle cell anemia	Hair on end or crew cut appearance
Sjogren’s syndrome (Sialography)	Branchless fruit laden tree or cherry blossom appearance
Synovial sarcoma	Spotty calcification; snow storm appearance
Synovial sarcoma	Snow storm appearance
Thalassemia	Rib with in a rib appearance of rib; Hair on end or crew cut appearance; salt and pepper effect;  Thin lamina dura