The Winking Eye

The normal verebral body on AP projection has ‘2 eyes’ due to the pedicles symmetric about the central spinous process.
In pedicle destruction, most commonly due to a lytic metastasis, one of the eyes is lost giving the impression of winking at the observer/interpreter.
In this case the bony metastasis was secondary to a primary bronchial carcinoma.
Reference: Imaging the Acutely Ill Patient, Kelly, Saunders.
Credit: Dr Ian Bickle
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