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                Bat Wing Appearance-AKA Angel Wing-pattern  of pulmonary edema which involves perihilar regions and spares cortex of lung  | 
              
              
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                Berry Aneurysm-an intracranial aneurysm most  often occurring in the Circle of Willis, particularly at the junction of major vessels in the anterior circulation  | 
              
              
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                Blade of Grass Sign-AKA flame sign; advancing,  wedge-shaped, osteolytic margin of active Paget disease of bone; usually seen  in diaphysis  | 
              
              
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                Beveled Edge Appearance-asymmetric erosion of the  inner and outer tables of the skull usually seen with eosinophilic granuloma  | 
              
              
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                Bird's Beak Sign-AKA Rat-tail Sign; irregularly marginated  tapering of esophagus in achalasia  | 
              
              
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                Bowler Hat Sign-cup-shaped filling defect seen  on air contrast BE that represents polyp if it points toward lumen and tic if  it points away  | 
              
              
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                Black Pleural Line-paradoxical appearance of  pleura in pulmonary microlithiasis because of innumerable dense calcifications  in adjacent lung  | 
              
              
              
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                Bird of Prey Sign-tapered barium column in  sigmoid volvulus; Bird's beak sign in achalasia  | 
              
              
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                Boot-shaped Heart-shape of heart in Tetralogy of  Fallot due to upturned apex from RVH and concave pulmonary artery segment  | 
              
              
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                Bowtie Appearance-of facets in the cervical  spine on lateral view in unilateral rotatory subluxation at and above the site  of rotation   | 
              
              
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                Bamboo Spine-undulating contour of spine  caused by bridging syndesmophytes seen in ankylosing spondylitis  | 
              
              
              
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                Bucket Handle Tear-vertical tear  in knee  of mostly medial meniscus with displacement of fragment toward notch  | 
              
              
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                Butterfly Vertebra-congenital sagittal cleft  through center of vertebra with funnel-shaped ends on AP view of spine  | 
              
              
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                Bone-within-a-Bone-inner layer of cortical  new bone within an existing bone seen with osteopetrosis, Sickle Cell Dz, Thorotrast  | 
              
              
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                Breast-within-a-Breast-in fibroadenolipoma 
                  /hamartoma of breast; benign proliferation  of normal breast components – fibrous, glandular, and fatty tissues – are  surrounded by a thin capsule of connective tissue  | 
              
              
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                Bear Paw Sign-dilated renal calyces with  normal renal pelvis seen in calculus disease and  xanthogranulomatous pyelonephritis  | 
              
              
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                Boutonniere Deformity-hyperextension of distal  interphalangeal joint and flexion of   proximal interphalangeal joint in RA  | 
              
              
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                Brim Sign-thickening of the  iliopectineal line (pelvic brim) in Paget's disease  | 
              
              
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                Boomerang Sign-hyperintense signal in the splenium of the corpus callosum accompanying stroke; also an MRI sign in peroneus brevis split syndrome   | 
              
              
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                Box-shaped Heart-squared-off appearance of the heart in Ebstein's Anomaly due to large right atrium and dilated right ventricular outflow tract  | 
              
              
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                Bite Sign-MSK-gouged-out defect due to  collapse of bone in head of femur in avascular necrosis  | 
              
              
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                Bulging Fissure Sign-bulging of usually minor  fissure from heavy,exudative pneumonia like Klebsiella  | 
              
              
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                Banana Sign-abnormal shape of the  cerebellum from compression seen on MRI or antenatal US in spina bifida and other  neural tube defects  |