=====Winking owl sign===== The (absent) pedicle sign, also called the winking owl sign, occurs on [[plain x ray]] film when a [[pedicle]] is absent. The term, winking owl sign, where the missing pedicle corresponds to the closed eye, the contralateral pedicle to the other open eye, and the spinous process to the beak of the animal AP views of the thoracic or lumbar spine ====Etiology==== destroyed pedicle [[spinal epidural metastases]] intraspinal malignancies tuberculosis and other infections uncommon: primary bone lesion; lymphoma congenital absence/hypoplasia of a pedicle neurofibromatosis poorly visualised radiation therapy